| Sophie H Chang, MD | |
|
2509 Pico Blvd, Santa Monica, CA 90405-1828 | |
| (310) 392-8636 | |
| Not Available |
| Full Name | Sophie H Chang |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2509 Pico Blvd, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720053978 | NPI | - | NPPES |
| 1720053978 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A055936 (California) | Secondary |
| 207Q00000X | Family Medicine | A55936 (California) | Primary |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Central City Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235283094 PECOS PAC ID: 6608837331 Enrollment ID: O20041025001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie H Chang, MD 5345 Bayridge Rd, Rancho Palos Verdes, CA 90275-1711 Ph: (310) 493-0080 | Sophie H Chang, MD 2509 Pico Blvd, Santa Monica, CA 90405-1828 Ph: (310) 392-8636 |
Dr. Jamie Ann Elson-wolin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403 Phone: 310-264-0765 Fax: 310-829-0765 | |
Dr. Patricia Yee-ling Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401 Phone: 310-395-5588 | |
Meron Abreham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 | |
Martin Louis Alpert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-393-0739 Fax: 310-395-2063 | |
Olivia Taeko Ishibashi, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4711 | |
Dr. Shane Alan Hervey, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1225 15th St Ste 2100, Santa Monica, CA 90404 Phone: 310-319-1234 | |
Edison Victor De Mello, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401 Phone: 310-451-8880 Fax: 310-451-8803 |