Healthcare Provider Details

I. General information

NPI: 1215849518
Provider Name (Legal Business Name): FINI CHANG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8875 AERO DR
SAN DIEGO CA
92123-2251
US

IV. Provider business mailing address

10423 NEWBLISS WAY
SAN DIEGO CA
92126-2000
US

V. Phone/Fax

Practice location:
  • Phone: 909-319-8325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: