Individual
DR. CHANDLER SIMS CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 E 1ST ST, SUITE 1201, LOS ANGELES, CA 90012-3811
(323) 455-8080
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(323) 455-8080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY220920
—
CA
Enumeration date
09/11/2008
Last updated
06/09/2010
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