Individual provider · Type 1 NPI
Kristina Eunjeong Chang, DPM
Foot & Ankle Surgery Podiatrist · Lakewood, CA
NPI number
1043662158
Active
Practice location
3700 E South Street
Lakewood, CA 90805
Mailing address
5279 E The Toledo, #4
Long Beach, CA 90803-1862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | EL6769 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | EL6769 (CA) |
| Foot Surgery Podiatrist | 213ES0131X | EL6769 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1043662158
Kristina Eunjeong Chang, DPM's National Provider Identifier is 1043662158, issued on Jul 13, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lakewood, CA. The record was last updated on Jul 13, 2016.