Vivian Yoo Jung Chang

M.D. | Pediatric Hematology-Oncology | Female

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Complete Profile:

Vivian Yoo Jung Chang basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Vivian Yoo Jung Chang
Credential :	M.D.
Gender :	Female

Business Address:

Vivian Yoo Jung Chang address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	10833 Le Conte Ave, Mdcc A2-312 Los Angeles, CA, 90095-3075 United States
Phone Number :	310-825-6708

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1255595229
NPI Entity Type :	Individual
First Enrolment Date :	17 Jul, 2008
Last Updated On :	03 Apr, 2013

Medicare Participation:

Vivian Yoo Jung Chang participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820253701
Medicare Enrollment ID :	I20120627000013
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Chicago, Pritzker School Of Medicine
Graduation Year :	2006
Accepts Medicare?	Yes. Vivian Yoo Jung Chang accepts medicare insurance.

Group Practice Association:

Vivian Yoo Jung Chang is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Vivian Yoo Jung Chang is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Uc Regents	4587568829	73	200 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	300 Medical Plz Los Angeles, CA - 900950001	Yes
Uc Regents	4587568829	73	10833 Leconte Ave Los Angeles, CA - 900953075 Ph: 3108259124	Yes
Uc Regents	4587568829	73	10833 Le Conte Ave Los Angeles, CA - 900953075	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian Yoo Jung Chang are as mentioned. Primary taxonomy code for Vivian Yoo Jung Chang, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	A106785	CA

Legacy Identifiers:

Other legacy medical identifiers of Vivian Yoo Jung Chang such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00A1067850	MEDICAID	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5767 W Century Blvd, Suite 400 Los Angeles, CA, 90045-5631 United States
Phone Number :	310-825-6708

Business Location:

Patients can refer following map for directions to Vivian Yoo Jung Chang practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.