Organization
CHIA-YIE VICTOR CHANG
Active
Organization
CHIA-YIE VICTOR CHANG
Active
Other names
CROWN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PEI PEI CHANG (OWNER)
(310) 327-9450
Entity
Organization
Contact information
Practice address
14133 S VERMONT AVE, GARDENA, CA 90247-2205
(310) 327-9450
(310) 327-1124
Mailing address
14133 S VERMONT AVE, GARDENA, CA 90247-2205
(310) 327-9450
(310) 327-1124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992613
PK
—
05
—
PHA421980
—
CA
Enumeration date
08/10/2006
Last updated
05/16/2014
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