Eddie Chang is a Pediatric Dentistry in Covina, California. Eddie Chang practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eddie Chang is 1568679611. The last update date is 2022-05-03.
Eddie Chang's current location address is 166 W College St, Covina, California. You can contact this provider via phone number 6263295003. The mailing address for Eddie Chang is 166 W College St, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Chang |
|---|---|
| Address | 166 W College St, Covina, California |
| Phone Number | 6263295003 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS., MS. |
NPI Number Detail
| NPI Number | 1568679611 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 166 W College St |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 917232047 |
| Phone Number | 6263295003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 46367 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code issued to Eddie Chang by the Centers for Medicare & Medicaid Services?
The Eddie Chang has been assigned the NPI (National Provider Identifier) 1568679611 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eddie Chang?
The Eddie Chang is physically situated at 166 W College St, in the city of Covina, state of CA, with the postal code 917232047.
What is Eddie Chang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eddie Chang's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did Eddie Chang receive its 1568679611 assignment from the Centers for Medicare & Medicaid Services?
The Eddie Chang was assigned its 1568679611 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Eddie Chang last refreshed?
The information related to the Eddie Chang, including its address, specialty, and other relevant details, was last updated on 2022-05-03.