Organization
MARISA CHANG MD INCORPORATED
Active
Organization
MARISA CHANG MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISA CHANG M.D. (OWNER)
(323) 633-1420
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD, SUITE 790, SANTA MONICA, CA 90403-4803
(323) 829-5968
(310) 453-3685
Mailing address
2811 WILSHIRE BLVD, SUITE 790, SANTA MONICA, CA 90403-4803
(323) 829-5968
(310) 453-3685
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A93323
CA
Other
Enumeration date
01/23/2009
Last updated
03/19/2009
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