Individual
DR. CHANG D. CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1029 JEFFERSON BLVD, STE. G, WEST SACRAMENTO, CA 95691-3344
(916) 371-3421
(916) 371-3421
Mailing address
1029 JEFFERSON BLVD, STE. G, WEST SACRAMENTO, CA 95691-3344
(916) 371-3421
(916) 371-3421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5641TPA
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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