Lodi Lifestyle Medicine & Surgery, Professional Corporation
NPI 1255160719ActiveOrganization· Surgery· Lodi, CA
Surgery in Lodi, California, registered in NPPES in July 2024. The authorized official on file is Tony Chang, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255160719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2024 |
| Last updated in NPPES | Jul 31, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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