05D2184504 CLIA NUMBER - KIRK Y CHANG MD INC

Laboratory Demographics

CLIA Number: 05D2184504

Facility Name: KIRK Y CHANG MD INC

Facility Address:
W 3RD STREET #1050W
LOS ANGELES, CA
ZIP 90048
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Facility Phone Number: 310 659-4026

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215924105

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	05D2184504
LAB Type	Physician Office
Facility Name	KIRK Y CHANG MD INC
Street	W 3RD STREET #1050W
City	LOS ANGELES
State	CA
ZIP	90048
Phone	310 659-4026
CertificateType	4
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024