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Organization
WILTERN CLINIC PSYCHOLOGICAL SERVICES, INC.
Active
Organization
WILTERN CLINIC PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOOKYUNG CHANG (PRESIDENT)
(213) 484-0077
Entity
Organization
Contact information
Practice address
2911 W 8TH ST STE 201, LOS ANGELES, CA 90005-1525
(213) 484-0077
Mailing address
2911 W 8TH ST STE 201, LOS ANGELES, CA 90005-1525
(213) 484-0077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9462
CA
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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