Individual
ANDY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12440 EAST IMPERIAL HIGHWAY, SUITE 116, NORWALK, CA 90650
(562) 565-6363
Mailing address
12440 EAST IMPERIAL HIGHWAY, SUITE 116, NORWALK, CA 90650
(562) 565-6363
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36201
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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