CECILIA CHANG RAJU (NPI# 1265459747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265459747 |
| Entity Type | Individual |
| Full Name | CECILIA CHANG RAJU |
| Other Name | CECILIA HUI-HSIN CHANG |
| Credential | OD |
| Practice Address |
15446 S Western Ave Gardena CA 90249-4319 |
| Mailing Address |
2218 Marshallfield Ln Unit A Redondo Beach CA 90278-5016 |
| Practice Telephone | 3102175370 |
| Mailing Telephone | 6266656344 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12279T | CA | Eye and Vision Services Providers |
| Street Address |
15446 S WESTERN AVE |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920756 | Patrick J Lemm | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2006-06-14 |
| 1235678350 | Noriko Lee | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-22 |
| 1972042430 | Sara Hwang | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-16 |
| 1316486871 | Emily Nguyen | Pharmacist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2017-02-16 |
| 1649644733 | Christina Chen | Physical Therapist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2015-11-30 |
| 1962806042 | Gina Hu Wong | Physical Therapist | 15446 S Western Ave, Gardena, CA 90249-4319 | 2014-10-17 |
| 1194131615 | Freyman Manuel Recinos | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2014-07-03 |
| 1720422470 | Raven Bilan Copeland | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2013-04-24 |
| 1265663611 | Keila Jenae Trimble-cox | Pediatrics | 15446 S Western Ave, Gardena, CA 90249-4319 | 2009-08-03 |
| 1629231378 | Mark Hanwook Song | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2008-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1114581881 | Michael Kobayashi, Od Professional Corporation | Optometrist | 18204 S Western Ave, Gardena, CA 90248-3819 | 2019-04-27 |
| 1962955567 | Amy H. Ishigo | Optometrist | 1425 W Artesia Blvd Ste 32, Gardena, CA 90248-3230 | 2016-07-29 |
| 1942611199 | Jerry S. Wake, O.d., Inc. | Optometrist | 1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200 | 2014-05-09 |
| 1851679716 | Jasmine Ardeshir Hamid | Optometrist | 1141 W Redondo Beach Blvd Ste 101, Gardena, CA 90247-3585 | 2011-07-26 |
| 1457519100 | Almar Vista Inc | Optometrist | 14506 S Crenshaw Blvd, Gardena, CA 90249-3158 | 2008-05-29 |
| 1376685958 | Peter Hoa Nguyen | Optometrist | 14506 Crenshaw Blvd, Gardena, CA 90249-3158 | 2007-02-12 |
| 1386740447 | Joel David Goodman | Optometrist | 1713 W Artesia Blvd., Gardena, CA 90248-3220 | 2006-09-16 |
| 1679678965 | Michael Herman O.d. Inc | Optometrist | 18203 S Western Ave Ste 102, Gardena, CA 90248 | 2006-09-13 |
| 1720052392 | Amy Jo Calder | Optometrist | 1142 W Redondo Beach Blvd, Gardena, CA 90247-3538 | 2006-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.