| Dgc Medical Inc | |
|
222 S Main St Apt 1610 Los Angeles CA 90012-4584 | |
| (213) 433-5632 | |
| Not Available |
| Full Name | Dgc Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 S Main St Apt 1610, Los Angeles, California |
| Authorized Official Name and Position | Dennis Chang (PHYSICIAN) |
| Authorized Official Contact | 2134335632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dgc Medical Inc 222 S Main St Apt 1610 Los Angeles CA 90012-4584 Ph: () - | Dgc Medical Inc 222 S Main St Apt 1610 Los Angeles CA 90012-4584 Ph: (213) 433-5632 |
| NPI Number | 1801642566 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 8325588981 |
|---|---|
| Medicare Enrollment ID | O20240910001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801642566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dennis G Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912360918 PECOS PAC ID: 0345594693 Enrollment ID: I20191230001228 |
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