| Ivy Chang, MD | |
|
1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | |
| (310) 538-6629 | |
| Not Available |
| Full Name | Ivy Chang |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 1145 W Redondo Beach Blvd, Gardena, 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 |
|---|---|---|---|
| 1891182374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A160546 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Gardena | Gardena, CA | Hospital |
| Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Viejo Emergency Medical Associates, Inc. | 7315090271 | 27 |
| Redondo Emergency Physicians Inc | 9032388269 | 12 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| Entity Name | Redondo Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376834937 PECOS PAC ID: 9032388269 Enrollment ID: O20110804000471 |
| Entity Name | Telemedicine365, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912525817 PECOS PAC ID: 0648683920 Enrollment ID: O20210105001789 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Chang, MD 898 N Pacific Coast Hwy Ste 600, El Segundo, CA 90245-2747 Ph: (310) 698-5452 | Ivy Chang, MD 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 Ph: (310) 538-6629 |
Dr. Taylor Walsh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 | |
Miss Jaee Shrikant Tamhane, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1141 West Rendondo Beach Blvd, Ste 306, Gardena, CA 90247 Phone: 310-344-0346 | |
Dr. Patrick L. Ignacio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-324-5777 Fax: 310-324-6245 | |
Hang T Tran, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629 | |
Stephani Simon Luecker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629 | |
Keivan Edalat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 West Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629 |