Chang, Chi

Chang, Chi is an individual health care provider with primary practice located at 3333 Bristol St , Costa Mesa CA 92626-1873. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chang, Chi can be contacted via phone (714) 754-1869.

Contact Information

Primary practice address
3333 Bristol St Costa Mesa CA 92626-1873
Phone: (714) 754-1869
Fax: (714) 754-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 41376 California
Eye and Vision Services Providers / Optometrist 152W00000X 3812 Washington
Eye and Vision Services Providers / Optometrist 152W00000X 14376 California

Profile Details

NPI number 1740316041
LBN Legal business name Chang, Chi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740316041 NPPES
Washington MEDICAID 2028223

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