Chang, Tom S
Chang, Tom S is an individual health care provider with primary practice located at 100 E California Blvd , Pasadena CA 91105-3205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Chang, Tom S can be contacted via phone (626) 568-8838.Contact Information
Primary practice address
100 E California Blvd
Pasadena CA 91105-3205
Phone: (626) 568-8838
Fax: (626) 583-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A69909 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | A69909 | California |
Profile Details
| NPI number | 1609848969 |
|---|---|
| LBN Legal business name | Chang, Tom S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Aug 7th, 2020 - about 4 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 | 1609848969 | NPPES |
| Other | 00A699090 | BLUE CROSS | |
| MEDICAID | 1609848969 | BLUE CROSS | |
| MEDICAID | 00A699090 | BLUE CROSS |
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