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

Michelle Ji Hye Chang

Individual provider Physician Assistant · NPI 1669008058

Michelle Ji Hye Chang is a Physician Assistant in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with Kevin J Pelton MD Inc, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

360 W Avenue 26 Apt 423
Los Angeles, CA 90031-1490
Phone: (213) 255-8805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669008058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kevin J Pelton Md Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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