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Marissa Chantorn
Psychiatric/Mental Health Nurse Practitioner in Manhattan Beach, California
NPI 1831883008

Marissa Chantorn is a Psychiatric/Mental Health Nurse Practitioner based in San Marino, CA and is specialized in Psychiatric/Mental Health. Marissa Chantorn practices in Manhattan Beach, CA. The NPI Number for Marissa Chantorn is 1831883008 and holds a License No. 95329832 (California).

The current practice location address for Marissa Chantorn is 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA and can be reached out via phone at 877-859-2341.

Location: 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA, 91108-2734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831883008
Provider Name
Marissa Chantorn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA, 91108-2734
Phone Number
877-859-2341
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 N Sepulveda Blvd Ste 201
City
Manhattan Beach
State
California
Zip
90266-5963
Phone Number
877-859-2341
Fax Number
person
Provider Business Mailing Address Details
Address
1101 N Sepulveda Blvd Ste 201
City
Manhattan Beach
State
California
Zip
90266-5963
Phone Number
877-859-2341
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95329832 (California)
Definition
Definition to come...
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