GRACE CHANG (NPI# 1871074997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871074997 |
Entity Type | Individual |
Full Name | GRACE CHANG |
Practice Address |
10653 Riverside Dr North Hollywood CA 91602-2341 |
Mailing Address |
3183 Wilshire Blvd # 196d5 Los Angeles CA 90010-1211 |
Practice Telephone | 2137877644 |
Mailing Telephone | 2137877644 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2020-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
31147 | CA | Behavioral Health & Social Service Providers |
N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3183 Wilshire Blvd # 196d5, Los Angeles, CA 900101211 | 2137877644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861745762 | Grace Chang | Optometrist | 5204-a Rolling Road, Burke, VA 22015-1605 | 2012-10-17 |
1023366424 | Grace Jeanee Chang | Counselor | 2270 Pickwick Pl, Fullerton, CA 92833-4804 | 2012-08-16 |
1447519020 | Grace S. Chang | Nurse Practitioner | 276 Main St., Minute Clinic / Cvs #2416, Demille, NJ 07834-2646 | 2012-05-16 |
1467751586 | Grace Chang | Speech-Language Pathologist | 4951 Chambers Street- 6th Fl, Ny, NY 10007-1209 | 2011-03-16 |
1467681668 | Grace Chang | Dietitian, Registered | 1515 John St, Fort Lee, NJ 07024-2560 | 2009-07-08 |
1710185814 | Grace Chang | Ophthalmology | 20511 Lake Forest Dr, Lake Forest, CA 92630-7741 | 2007-07-10 |
1508424805 | Grace Chang | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2019-05-31 |
1033772280 | Grace Chou Chang | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2019-04-15 |
1780163022 | Grace Chang | Behavior Technician | 46040 Center Oak Plz Ste 150, Sterling, VA 20166-6611 | 2018-08-08 |
1245729706 | Grace Weilin Chang | Audiologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2018-05-09 |
Street Address |
10653 RIVERSIDE DR |
City | NORTH HOLLYWOOD |
State | CA |
Zip Code | 91602-2341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766367 | Striving Forward Marriage Family Therapy, Inc. | Marriage & Family Therapist | 10653 Riverside Dr, North Hollywood, CA 91602-2341 | 2020-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
Find all providers in zip 91602 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083817951 | David Giella | Psychologist | 10907 Magnolia Blvd, Suite 414, North Hollywood, CA 91601-3904 | 2007-06-07 |
1821138173 | Janie S Strasner | Psychologist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2007-02-07 |
1629151527 | Deborah A Hoffman | Psychologist | 6736 Laurel Canyon Blvd, Suite 200, North Hollywood, CA 91606-1538 | 2006-10-23 |
1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
1487884474 | Azine Sara Neiman | Psychologist | 6736 Laurel Canyon Blvd, Suite 200, North Hollywood, CA 91606-1538 | 2009-07-23 |
1104950286 | Debra Melinda Sharon | Psychologist | 6455 Coldwater Canyon Ave, North Hollywood, CA 91606-1112 | 2007-03-14 |
1114067881 | Gilbert Morquecho | Psychologist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2007-02-08 |
1922052380 | John Arthur Ayvazian | Psychologist | 12520 Magnolia Blvd, # 300, North Hollywood, CA 91607-2336 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
Find all providers with the same taxonomy |
City | NORTH HOLLYWOOD |
Zip Code | 91602 |
Please comment or provide details below to improve the information on GRACE CHANG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.