Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Wesley Chang

Individual provider Family Medicine Physician · NPI 1770044174

Kevin Wesley Chang is a Family Practice in Marina del Rey, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2017, 9 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
9
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA, IL
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone: (310) 827-3700
Fax: (310) 578-5379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A180365 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.073753 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125073753 (IL)

Record details

NPI number1770044174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESOctober 15, 2024
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2017 (9 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Marina del Rey