Individual provider · Type 1 NPI

Marissa Chantorn

Psychiatric/Mental Health Nurse Practitioner · Manhattan Beach, CA

NPI number 1831883008 Active

Practice location

1101 N Sepulveda Blvd Ste 201
Manhattan Beach, CA 90266-5963

Mailing address

2935 Lorain Rd
San Marino, CA 91108-2734

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95329832 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1831883008

Marissa Chantorn's National Provider Identifier is 1831883008, issued on Jun 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manhattan Beach, CA. The record was last updated on Jun 8, 2023.