| Harry H Chang, MD | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2000 | |
| Not Available |
| Full Name | Harry H Chang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366590200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A90141 (California) | Primary |
| 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 |
|---|---|
| Harry H Chang, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Harry H Chang, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
David Braun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mohamed D. Gudal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Alice Lim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Veena P. Damle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen M. Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary V. Ong-veloso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Wadie S. Tadros, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |