SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER - NPI 1891235578 - Public Health or Welfare in Laguna Hills, CA

Q: What is the provider's specialty?

The provider's specialty is Public Health or Welfare with taxonomy code 251K00000X.

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About South County Kidney And Endocrine Center NPPES

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

SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER (NPI 1891235578) is a healthcare organization registered as a public health or welfare in Laguna Hills, California and active in the NPI registry since March 2017. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2027 and lists Raymond Ku Jay Chang, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1891235578

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameSOUTH COUNTY KIDNEY AND ENDOCRINE CENTER

Location Address23141 MOULTON PKWY STE 102Laguna Hills, CA 92653-1241

Mailing Address23141 Moulton Pkwy #102Laguna Hills, CA 92653 · (949) 916-9100 · Fax (949) 916-0091

Phone(949) 916-9100

Fax(949) 916-0091

Organization SubpartNo

Authorized OfficialRaymond Ku Jay ChangMedical Director · (949) 916-9100

Enumeration DateMarch 1, 2017

✔ NPI 1891235578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

License✔ Licensed in CA · 202278889

23141 MOULTON PKWY STE 102, Laguna Hills, CA 92653

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1040918

South County Kidney & Endocrine Center · Laguna Hills, CA

Active · expires Oct 25, 2027

CLIA Number05D1040918

Laboratory TypeIndependent

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorRaymond K. Chang

Laboratory Phone(949) 916-9100

Laboratory LocationSouth County Kidney & Endocrine Center23141 Moulton Pkwy, Ste 102, Laguna Hills, CA 92653

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

YASEEN KADY PA-C

Internal Medicine