Organization
VALLEY RETINA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHI-HWA WILLIAM CHANG M.D. (PRESIDENT AND SOLE SHARE HOLDER)
(209) 596-2266
Entity
Organization
Contact information
Practice address
12824 STOCKHOLM WAY, TRUCKEE, CA 96161-6943
(209) 596-2266
Mailing address
12824 STOCKHOLM WAY, TRUCKEE, CA 96161-6943
(209) 596-2266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A48531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485310
—
CA
Enumeration date
08/31/2006
Last updated
01/03/2024
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