Individual
DR. GRACE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
20511 LAKE FOREST DR, LAKE FOREST, CA 92630-7741
(949) 215-3139
Mailing address
20511 LAKE FOREST DR, LAKE FOREST, CA 92630-7741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231696
MA
Other
Enumeration date
07/10/2007
Last updated
09/15/2014
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