Individual
MARISA C. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 MEDICAL PLAZA, SUITE B200, LOS ANGELES, CA 90095-0001
(310) 794-1870
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-1870
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A93323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A93323
—
CA
Enumeration date
06/09/2008
Last updated
07/27/2010
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