Individual
ELI CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST, SUITE 4000, LOS ANGELES, CA 90033-4668
(323) 442-6335
(323) 442-7166
Mailing address
1450 SAN PABLO ST, SUITE 3700, LOS ANGELES, CA 90033-4668
(323) 442-7152
(323) 442-7166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A74459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A744590
BLUE SHIELD
CA
05
—
00A744590
—
CA
01
—
180045317
MEDICARE RAILROAD
CA
Enumeration date
12/11/2006
Last updated
12/07/2021
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