Provider Demographics
NPI:1255838140
Name:CHANG, CHRISTINA EUNHA CHOI (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:EUNHA CHOI
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:EUNHA
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19441 GOLF VISTA PLZ STE 320
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8272
Mailing Address - Country:US
Mailing Address - Phone:703-858-9800
Mailing Address - Fax:
Practice Address - Street 1:19441 GOLF VISTA PLZ STE 320
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8272
Practice Address - Country:US
Practice Address - Phone:703-858-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101274260207W00000X
SCLL82672207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology