Organization
THE EYELID DOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHANG MD (PRESIDENT)
661325393937
Entity
Organization
Contact information
Practice address
5901 ENCINA RD STE C3, GOLETA, CA 93117-2272
(805) 565-5700
Mailing address
PO BOX 20831, BAKERSFIELD, CA 93390-0831
(661) 325-3937
(661) 283-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A29218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306959259
—
CA
Enumeration date
08/15/2016
Last updated
08/15/2016
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