Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fern Miyoko Obatake-Chang, PHD

Individual provider Psychologist · NPI 1316696354

Dr. Fern Miyoko Obatake-Chang, PHD is a Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

450 Bauchet St
Los Angeles, CA 90012-2907
Phone: (213) 473-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY14462 (CA)

Record details

NPI number1316696354
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 18, 2022
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022

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