| Dr Ku-juey Raymond Chang, MD | |
|
23331 El Toro Rd, Suite 102, Lake Forest, CA 92630-4891 | |
| (949) 916-9100 | |
| (949) 916-0091 |
| Full Name | Dr Ku-juey Raymond Chang |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 33 Years |
| Location | 23331 El Toro Rd, Lake Forest, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689611337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | G181497 (California) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G181497 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita-saddleback Dialysis | Laguna hills, CA | Dialysis facility |
| Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scke Inc | 6608822895 | 18 |
| Entity Name | Ku Juey Raymond Chang Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144104 PECOS PAC ID: 6608822895 Enrollment ID: O20050330001128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ku-juey Raymond Chang, MD Po Box 511345, Los Angeles, CA 90051-7900 Ph: (916) 949-9100 | Dr Ku-juey Raymond Chang, MD 23331 El Toro Rd, Suite 102, Lake Forest, CA 92630-4891 Ph: (949) 916-9100 |
Sam Pourbabak, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 23331 El Toro Rd, 102, Lake Forest, CA 92630 Phone: 949-916-9100 Fax: 949-916-0091 | |
Suma Oommen, M.D. Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 24432 Muirlands Blvd Ste 219, Lake Forest, CA 92630 Phone: 949-852-9038 | |
Dr. Brian Escala Chavez, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 23331 El Toro Rd, Suite 102, Lake Forest, CA 92630 Phone: 949-916-9100 Fax: 949-916-0091 | |
Sahar E. Lashin, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 22972 El Toro Rd # C3, Lake Forest, CA 92630 Phone: 949-749-1049 Fax: 949-749-1048 | |
Mohammed Waseem Uddin Ansari, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 22972 El Toro Rd, Lake Forest, CA 92630 Phone: 816-585-4373 | |
Madineth Muy, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 22621 Lake Forest Dr Ste D1, Lake Forest, CA 92630 Phone: 949-242-6902 Fax: 949-372-3544 |