MARISA CHANG MD INCORPORATED NPI 1942448253

NPI Information

  • NPI: 1942448253
  • Provider Name: MARISA CHANG MD INCORPORATED
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 2811 WILSHIRE BLVD
    SUITE 790
    SANTA MONICA, CA
    ZIP 90403
  • Phone: (323) 829-5968

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyA93323CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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