Individual
CHRISTINE M. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2359 S. AZUSA AVE., WEST COVINA, CA 91792
(626) 913-2244
(626) 913-6204
Mailing address
2359 S. AZUSA AVE., WEST COVINA, CA 91792
(626) 913-2244
(626) 913-6204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1111OT
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD011110T
—
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
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