Individual provider · Type 1 NPI

Timothy James Chang, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1497455224 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3720

Mailing address

10833 Le Conte Ave Box 951668
Los Angeles, CA 90095-1668

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X21844 (CA)
Dentist 122300000X109540 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X109540 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1497455224

Timothy James Chang, MD, DDS's National Provider Identifier is 1497455224, issued on Mar 9, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 18, 2026.