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Organization

MATTY CHANG OD INC

Active
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Organization

MATTY CHANG OD INC

Active
Other names
Century Eyecare Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
MATTY CHANG O.D (OPTOMETRIST)
(714) 524-6688
Entity
Organization

Contact information

Practice address
630 N ROSE DR, PLACENTIA, CA 92870-7513
(714) 524-6688
(714) 524-7678
Mailing address
630 N ROSE DR, PLACENTIA, CA 92870-7513
(714) 524-6688
(714) 524-7678

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12280T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0122800
—
CA
Enumeration date
08/24/2009
Last updated
08/31/2012
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