Individual
DR. CHI CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3333 BRISTOL ST, COSTA MESA, CA 92626-1873
(714) 754-1869
(714) 754-1871
Mailing address
1609 S VARNA ST, ANAHEIM, CA 92804-6128
(206) 769-1918
(909) 646-7097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14376
CA
152W00000X
Optometrist
3812
WA
152W00000X
Optometrist
41376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028223
—
WA
Enumeration date
02/23/2007
Last updated
07/27/2022
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