Chang, Gina

Chang, Gina is an individual health care provider with primary practice located at 1111 Baker St Ste A , Costa Mesa CA 92626-4138. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Chang, Gina can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
1111 Baker St Ste A Costa Mesa CA 92626-4138
Phone: (818) 241-6780
Fax: (818) 241-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-07-3373
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY26473 California

Profile Details

NPI number 1639442502
LBN Legal business name Chang, Gina
Credentials PH.D, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2012
Last updated Feb 6th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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