| Grace Chang, | |
|
2021 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2208 | |
| (310) 453-5654 | |
| (310) 453-6885 |
| Full Name | Grace Chang |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 15 Years |
| Location | 2021 Santa Monica Blvd Ste 560w, Santa Monica, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508144783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | A123034 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - West La | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Chang, 1000 W Carson St # 400, Torrance, CA 90502-2004 Ph: Not Available | Grace Chang, 2021 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2208 Ph: (310) 453-5654 |
Mina Rim Kang, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-453-1324 Fax: 424-212-5921 |
Christine Sun, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St # C2304, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-319-4908 |
Irawan Susanto, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790 |
Louis Ravitz, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533 |
Dr. Sean Dooley, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745 |
Alanna Chau, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1250 16th Street, 2304 Central Wing, Santa Monica, CA 90404 Phone: 310-319-4698 Fax: 310-219-4908 |
Dr. Colleen Lucy Channick, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939 |