Individual
DR. CLIFFORD KARL CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
929 CLAY ST, 203, SAN FRANCISCO, CA 94108-1556
(415) 982-1700
(415) 982-1750
Mailing address
929 CLAY ST, 203, SAN FRANCISCO, CA 94108-1556
(415) 982-1700
(415) 982-1750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288920001
SUPPLIER NUMBER
CA
Enumeration date
02/19/2008
Last updated
04/23/2008
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