SI CHANG (NPI# 1073641080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073641080 |
| Entity Type | Individual |
| Full Name | SI CHANG |
| Practice Address |
2525 Grand Ave Long Beach CA 90815-1765 |
| Practice Telephone | 5625704227 |
| Practice Fax Number | 5625704310 |
| Mailing Telephone | 5625704227 |
| Mailing Fax Number | 5625704310 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 362636 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | C2460595 | 01 |
| Street Address |
2525 GRAND AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222803 | Mauro S Torno | Internal Medicine | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2005-08-12 |
| 1861982449 | Evangeline Evangelista | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-05-18 |
| 1245729748 | Susana Guadalupe Aceves | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-05-09 |
| 1932604964 | Irene Hyun Jin Lee | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2018-03-30 |
| 1033623582 | Pauline Pham | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2017-11-20 |
| 1407307192 | Robyn Williams | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2016-10-18 |
| 1346615309 | Chamnaneth Khem | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-12-02 |
| 1467827527 | Julio C. Rodriguez | Social Worker | 2525 Grand Ave, Suite 115, Long Beach, CA 90815-1765 | 2015-12-01 |
| 1427438183 | City of Long Beach | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-06-08 |
| 1174916753 | Ana Hizon | Registered Nurse | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922443506 | West Coast Counseling Services Inc Dba West Coast Counseling Center | Public Health or Welfare | 2158 Pacific Ave, Long Beach, CA 90806-4514 | 2013-05-08 |
| 1790007763 | West Coast Counceling | Public Health or Welfare | 481 W Willow St, Long Beach, CA 90806-2843 | 2010-02-18 |
| 1538771001 | Windows of Hope Counseling Center Inc. | Public Health or Welfare | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2020-08-17 |
| 1427438183 | City of Long Beach | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2015-06-08 |
| 1831433150 | West Coast Counseling Services Inc Dba West Coast Counseling Center | Public Health or Welfare | 481 W Willow St, Long Beach, CA 90806-2843 | 2012-11-27 |
| 1487975876 | Federation of Filipino American Associations,inc | Public Health or Welfare | 2125 Santa Fe Ave, Long Beach, CA 90810-3547 | 2010-06-20 |
| 1215105796 | West Coast Counseling Services, Inc | Public Health or Welfare | 2008 Pacific Ave, Long Beach, CA 90806-4610 | 2008-02-18 |
| 1831373232 | Long Beach Department Health and Human Services | Public Health or Welfare | 2525 Grand Ave, Long Beach, CA 90815-1765 | 2007-12-20 |
| 1952517336 | City of Long Beach Health Dept | Public Health or Welfare | 1133 E Rhea St, Long Beach, CA 90806-5125 | 2007-05-15 |
| 1255545133 | City of Long Beach | Public Health or Welfare | 1133 E Rhea St, Long Beach, CA 90806-5125 | 2007-05-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on SI CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.