Individual
DR. EILEEN YI-TING CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2212 N. LINCOLN AVE., ALTADENA, CA 91001
(626) 296-8416
Mailing address
1296 FOREST AVE, PASADENA, CA 91103-2426
(626) 840-0699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10826T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0108260
—
CA
Enumeration date
08/31/2006
Last updated
07/09/2010
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