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General NPI Number Information
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NPI Number | 1518737683
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Entity Type | Individual
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Provider Name | MRS. YOO JUNG CHANG
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 888-978-1219
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Fax |
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Provider Business Mailing Address
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Address Line | 828 S LUCERNE BLVD APT 5
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City | LOS ANGELES
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State | CA
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Zip | 90005-3714
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Country | US
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Telephone | 213-365-7878
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT157572
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License Number State | CA
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