Healthcare Provider Details

I. General information

NPI: 1205022175
Provider Name (Legal Business Name): LA CHUNE F PRICE PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 W PICO BLVD
LOS ANGELES CA
90006-5011
US

IV. Provider business mailing address

2080 CENTURY PARK E STE 1206
LOS ANGELES CA
90067-2015
US

V. Phone/Fax

Practice location:
  • Phone: 213-389-4544
  • Fax: 213-389-4554
Mailing address:
  • Phone: 213-389-4544
  • Fax: 213-389-4554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA19206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: