Individual
DR. FERN MIYOKO OBATAKE-CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6109
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14462
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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