JYH C. CHANG MD PROFESSIONAL CORP. NPI 1316168636

NPI Information

NPI: 1316168636
Provider Name: JYH C. CHANG MD, PROFESSIONAL CORP.

Doing Business As: PACIFICA SUR MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
4318 MAINE AVE
BALDWIN PARK, CA
ZIP 91706
Phone: (626) 962-5141
Get Directions

JYH C. CHANG MD, PROFESSIONAL CORP. is a family medicine in Baldwin Park, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JYH C. CHANG MD, PROFESSIONAL CORP. NPI is 1316168636. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacifica Sur Medical Group.

The provider's business location address is:

4318 MAINE AVE
BALDWIN PARK, CA
ZIP 91706-306
Phone: (626) 962-5141
Fax: (626) 338-4191

The provider's authorized official is Jyh Chang .
The authorized official title is President and has the following contact phone number (626) 962-5141.

The CLIA number assigned to this NPI record is 05D0866339 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G80349	CALIFORNIA	No
2	207Q00000X	Family Medicine		A46003	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W18846	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE GROUP
2	BLUE SHIELD	OTHER	CALIFORNIA	ZZZ52049Z
3	GR0071680	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »