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Individual

DR. HEATHER S. CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
234 S. FIRST AVE, SUITE 101, ARCADIA, CA 91006
(626) 447-7008
(626) 447-7009
Mailing address
234 S. FIRST AVE, SUITE 101, ARCADIA, CA 91006
(626) 447-7008
(626) 447-7009

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A103063
CA
207W00000X
Ophthalmology Physician
MD448260
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
287240
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD448260
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04679407
NY
01
J400367669
MEDICARE PTAN
NY
Enumeration date
08/28/2007
Last updated
11/16/2018
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