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

Shady Canyon Medical Group

Organization Family Medicine Physician · NPI 1922245349

Shady Canyon Medical Group is a Family Medicine Physician in Irvine, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

15825 Laguna Canyon Rd Ste 104
Irvine, CA 92618-2126
Phone: (949) 585-9870
Fax: (949) 585-9331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A77997 (CA)

Record details

NPI number1922245349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Chang — Md/Owner · (949) 585-9870
NPI enumeratedJanuary 8, 2009
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618-2126

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