Timothy James Chang, MD, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Los Angeles, California. His current practice location is
10833 Le Conte Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(310) 825-0834.
Timothy James Chang is licensed to practice in California (license number 109540) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497455224.
Physician's Profile
| Full Name | Timothy James Chang |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 10833 Le Conte Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497455224
- Provider Enumeration Date: 03/09/2023
- Last Update Date: 09/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779004171
- Enrollment ID: I20250228003113
Medical Identifiers
Medical identifiers for Timothy James Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497455224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 21844 (California) | Secondary |
| 122300000X | Dentist | 109540 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 109540 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy James Chang is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Timothy James Chang, MD, DDS 10833 Le Conte Ave Box 951668, Los Angeles, CA 90095-1668 Ph: (310) 825-7478 | Timothy James Chang, MD, DDS 10833 Le Conte Ave, Los Angeles, CA 90095-3720 Ph: (310) 825-0834 |
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