Chang, Kenny

Chang, Kenny is an individual health care provider with primary practice located at 12021 Wilshire Blvd Ste 745 , Los Angeles CA 90025-1206. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Chang, Kenny can be contacted via phone (310) 348-1900.

Contact Information

Primary practice address
12021 Wilshire Blvd Ste 745 Los Angeles CA 90025-1206
Phone: (310) 348-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X PA16068 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16068 California

Profile Details

NPI number 1134397870
LBN Legal business name Chang, Kenny
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Mar 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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