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NPI Code Detail

MEDICARE: ROBIN CHANG

MEDICARE: ROBIN CHANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist33493CA

General Provider Information

NPI Number : 1609315647
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN CHANG
Provider Business Mailing Address
First Line : 5300 HOLLISTER AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-2306
Country : US
Telephone Number : 510-225-8435
Fax Number :
Provider Business Practice Location Address
First Line : 5300 HOLLISTER AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-2306
Country : US
Telephone Number : 805-692-6977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2017
Last Update Date : 01/27/2020

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Directions to “ ROBIN CHANG ” Practice Location

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