Individual
TOM S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 583-8838
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 583-8838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A69909
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A69909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A699090
BLUE CROSS
—
05
—
00A699090
—
CA
05
—
1609848969
—
CA
Enumeration date
02/02/2006
Last updated
08/07/2020
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