Individual
KRISTINA EUNJEONG CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3700 E SOUTH STREET, LAKEWOOD, CA 90805
(562) 531-2550
Mailing address
5279 E THE TOLEDO, #4, LONG BEACH, CA 90803-1862
(661) 863-8620
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
EL6769
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6769
CA
213ES0131X
Foot Surgery Podiatrist
EL6769
CA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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