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
Fax: (626) 583-8838
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609848969 NPPES
Other 00A699090 BLUE CROSS
MEDICAID 1609848969 BLUE CROSS
MEDICAID 00A699090 BLUE CROSS

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