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Ms. Carissa Keyan Chang
Student in an Organized Health Care Education/Training Program in Gardena, California
NPI 1396027900

Carissa Keyan Chang is a Student in an Organized Health Care Education/Training Program based in Santa Monica, CA. Carissa Keyan Chang practices in Gardena, CA. The NPI Number for Carissa Keyan Chang is 1396027900 and holds a License No. (California).

The current practice location address for Carissa Keyan Chang is 14112 S Kingsley Dr, Gardena, CA and can be reached out via phone at 310-217-7312.

Location: 14112 S Kingsley Dr, Gardena, CA, 90403-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396027900
Provider Name
Carissa Keyan Chang
Credential
Provider Entity Type
Individual
Gender
Female
Address
14112 S Kingsley Dr, Gardena, CA, 90403-4220
Phone Number
310-217-7312
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-217-7312
Fax Number
person
Provider Business Mailing Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-217-7312
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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