Chantorn, Marissa

Chantorn, Marissa is an sole proprietor health care provider with primary practice located at 1101 N Sepulveda Blvd Ste 201 , Manhattan Beach CA 90266-5963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Chantorn, Marissa can be contacted via phone (877) 859-2341.

Contact Information

Primary practice address
1101 N Sepulveda Blvd Ste 201 Manhattan Beach CA 90266-5963
Phone: (877) 859-2341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95329832 California

Profile Details

NPI number 1831883008
LBN Legal business name Chantorn, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2023
Last updated Jun 8th, 2023 - about 2 years 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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