Christine M Chang Od Inc

LBN: Christine M Chang Od Inc
Christine M Chang Od Inc is an health care organization with primary practice located at 2359 S Azusa Ave , West Covina CA 91792. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Christine M Chang Od Inc can be contacted via phone (626) 913-2244, or through Chang, Christine M via phone (626) 913-2244.

Contact Information

Primary practice address
2359 S Azusa Ave West Covina CA 91792
Phone: (626) 913-2244
Fax: (626) 913-6204
Website:
Map and Directions
Authorized official contact:
Name: Chang, Christine M Doctor of Optometry (OD)
Phone: (626) 913-2244

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11110T California

Profile Details

NPI number 1356430490
LBN Legal business name Christine M Chang Od Inc
DBA Doing business as
Authorized official Chang, Christine M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356430490 NPPES
California MEDICAID SD011110T

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