Individual
LORI CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3300
Mailing address
2012 CLARK LN, UNIT A, REDONDO BEACH, CA 90278-4206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
961204
CA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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