DR. MOON S CHANG M.D.
NPI 1275617714
Specialist in Los Angeles, CA

Q: What is Moon Chang's NPI number?

The NPI number for Moon Chang is 1275617714. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Moon Chang's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Moon Chang was last updated on November 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006

3671 W 6TH ST, LOS ANGELES, CA 90020(213) 383-8497(213) 365-9133 Get Directions Write a Review

NPPES record last updated: November 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Moon S Chang M.d. NPPES

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

DR. MOON S CHANG M.D. (NPI 1275617714) is an individual specialist in Los Angeles, California, licensed in California (A333570) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275617714

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MOON S CHANGCredential: M.D.

Location Address3671 W 6TH STLos Angeles, CA 90020-3026

Mailing Address3671 W 6th StLos Angeles, CA 90020-3026 · (213) 383-8497 · Fax (213) 365-9133

Phone(213) 383-8497

Fax(213) 365-9133

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateNovember 28, 2009

✔ NPI 1275617714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A333570

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3671 W 6TH ST, Los Angeles, CA 90020

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Other Identifiers 4

Medicare UPINA27125CA

Medicaid6671816CA

Medicare ID-Type UnspecifiedW13511CA

Medicaid00A333570CA

Other Providers at the Same Location NPPES 2

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

BONG S CHANG M.D.

Pediatrics

3671 W 6TH ST
LOS ANGELES, CA 90020

Los Angeles County (213) 383-8496

MOON CHANG M.D. & BONG CHANG, M.D. APC

Clinic/Center (Medical Specialty)

3671 W 6TH ST
LOS ANGELES, CA 90020

Los Angeles County (213) 383-8496

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 Moon Chang's NPI number?

The NPI number for Moon Chang is 1275617714. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Moon Chang located?

Moon Chang practices at 3671 W 6th St, Los Angeles, CA 90020. The listed phone number is (213) 383-8497.

What is Moon Chang's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Moon Chang was last updated on November 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.