Provider Demographics
NPI:1518736743
Name:MOSER-CHANG, ELIZABETH ALLEN (NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ALLEN
Last Name:MOSER-CHANG
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1632
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-5632
Mailing Address - Country:US
Mailing Address - Phone:323-552-8446
Mailing Address - Fax:
Practice Address - Street 1:595 E COLORADO BLVD STE 403
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2018
Practice Address - Country:US
Practice Address - Phone:626-775-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty