MARISA CHANG MD INCORPORATED NPI 1942448253

NPI Information

MARISA CHANG MD INCORPORATED is a neurology psychiatry neurology in Santa Monica, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MARISA CHANG MD INCORPORATED NPI is 1942448253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 WILSHIRE BLVD
SUITE 790
SANTA MONICA, CA
ZIP 90403-803
Phone: (323) 829-5968
Fax: (310) 453-3685

The provider's authorized official is Marisa Chang .
The authorized official title is Owner and has the following contact phone number (323) 633-1420.

The CLIA number assigned to this NPI record is 05D2011029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2009 and was last updated on 3/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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