William Chang Od, Inc

LBN: William Chang Od, Inc
William Chang Od, Inc is an health care organization with primary practice located at 417 S San Gabriel Blvd Suite B, San Gabriel CA 91776-1967. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. William Chang Od, Inc can be contacted via phone (626) 291-2020, or through Chang, William via phone (626) 291-2020.

Contact Information

Primary practice address
417 S San Gabriel Blvd Suite B San Gabriel CA 91776-1967
Phone: (626) 291-2020
Fax: (626) 585-2905
Website:
Map and Directions
Authorized official contact:
Name: Chang, William Doctor of Optometry (OD)
Phone: (626) 291-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13713 California

Profile Details

NPI number 1255669057
LBN Legal business name William Chang Od, Inc
DBA Doing business as
Authorized official Chang, William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2009
Last updated Sep 16th, 2021 - about 5 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 1255669057 NPPES
California Other CR713Z MEDICARE PTAN
California MEDICAID 1255669057 MEDICARE PTAN

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