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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. EDWARD JINSOO CHANG DO
NPI 1235889585
Physical Medicine & Rehabilitation - Pain Medicine in Los Angeles, CA

Active since March 28, 2022PECOS Enrolled
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(310) 720-3108 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Jinsoo Chang Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD JINSOO CHANG DO (NPI 1235889585) is an individual pain medicine provider in Los Angeles, California, licensed in California (20A21784) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235889585
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. EDWARD JINSOO CHANGCredential: DO
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address1334 9th St Apt 5Santa Monica, CA 90401-1829
Phone(310) 720-3108
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
✔ NPI 1235889585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 20A21784
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
11301 WILSHIRE BLVD, Los Angeles, CA 90073
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Jinsoo Chang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA ZUHAIL CENTENO I
Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. APRIL S. BULLOCK MSW,ACSW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3000
NICOLE CHAN LISW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 487-6026
DANIEL SMEE SOCIAL WORK
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AMANDA SALVESTRINI MS, RD
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
RACHEL DAJANI MD
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
HARRISON BODRIE LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 987-8310
MR. ROBERTO CARMONA-VERGARA ASW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Jinsoo Chang's NPI number?

The NPI number for Edward Jinsoo Chang is 1235889585. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Edward Jinsoo Chang located?

Edward Jinsoo Chang practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 720-3108.

What is Edward Jinsoo Chang's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Edward Jinsoo Chang enrolled in Medicare?

Yes. Edward Jinsoo Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Jinsoo Chang was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.