Individual
KAILEE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-5000
(626) 852-5084
Mailing address
525 34TH AVE, SAN FRANCISCO, CA 94121-2705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95265061
CA
Other
Enumeration date
07/22/2019
Last updated
02/12/2024
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