Chang, Kent J
Chang, Kent J is an individual health care provider with primary practice located at 8901 Garden Grove Blvd , Garden Grove CA 92844-1213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chang, Kent J can be contacted via phone (714) 530-1001.Contact Information
Primary practice address
8901 Garden Grove Blvd
Garden Grove CA 92844-1213
Phone: (714) 530-1001
Fax: (714) 530-1289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11616T | California |
Profile Details
| NPI number | 1649329178 |
|---|---|
| LBN Legal business name | Chang, Kent J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jun 12th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649329178 | NPPES |
| California | Other | 1649329178 | NPI |
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