# CHANG SMITH MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336172113
- **Authorized official:** JEANIE GORI (OFFICE MANAGER)
- **Authorized official phone:** (530) 532-7650

## Contact information

- **Practice address:** 2809 OLIVE HWY, SUITE 250, OROVILLE, CA 95966-6131
- **Practice address phone:** (530) 532-7650
- **Practice address fax:** (530) 532-7653
- **Mailing address:** 2809 OLIVE HWY, SUITE 250, OROVILLE, CA 95966-6131
- **Mailing address phone:** (530) 532-7650
- **Mailing address fax:** (530) 532-7653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A71743 | CA | — |
| 207W00000X | Ophthalmology Physician | A68430 | CA | — |
| 207W00000X | Ophthalmology Physician | A70256 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 04/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0100950 | — | CA |