DR. EMMA TRUNG TRA PHAN (NPI# 1609104264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609104264 |
| Entity Type | Individual |
| Full Name | DR. EMMA TRUNG TRA PHAN |
| Credential | PSY.D. |
| Practice Address |
821 Kuhn Dr Suite 102 Chula Vista CA 91914-4508 |
| Practice Telephone | 6199976268 |
| Mailing Telephone | 6199976268 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23223 | CA | Behavioral Health & Social Service Providers |
| Street Address |
821 KUHN DR SUITE 102 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234473 | Gary D Pesavento | Psychologist | 821 Kuhn Dr, Ste 102, Chula Vista, CA 91914-4508 | 2005-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154548196 | Libe Weiss | Psychologist | 224 Landis St, Chula Vista, CA 91910 | 2007-04-19 |
| 1295836138 | Dolores I Rodriguez-reimann | Psychologist | 690 Otay Lakes Rd., Suite 210, Chula Vista, CA 91910-8904 | 2006-09-25 |
| 1154422087 | Joachim Reimann | Psychologist | 690 Otay Lakes Rd Ste 210, Chula Vista, CA 91910-8904 | 2006-09-25 |
| 1942220801 | Janet Lee Bernabo | Psychologist | 1415 Ridgeback Rd Ste 2, Chula Vista, CA 91910-6983 | 2006-07-20 |
| 1669409140 | Bruce Yanofsky | Psychologist | 900 Lane Ave, Suite 125, Chula Vista, CA 91914-4515 | 2006-06-28 |
| 1740270594 | Elsa Alanis | Psychologist | 224 Landis Ave, Chula Vista, CA 91910-2609 | 2005-10-24 |
| 1669947792 | Brenton Roman | Psychologist | 865 3rd Ave, Chula Vista, CA 91911-1300 | 2018-10-04 |
| 1306089164 | Radhika Katyal | Psychologist | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2009-04-09 |
| 1427250356 | Scherry Messic, Ph.d., A Professional Psychological Corporation | Psychologist | 680 Telegraph Canyon Road, Suite 202, Chula Vista, CA 91910-6536 | 2007-06-04 |
| 1003039843 | Andrew Lowell Cooper | Psychologist | 815 3rd Ave, Suite 107, Chula Vista, CA 91911-1307 | 2007-04-10 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
Please comment or provide details below to improve the information on DR. EMMA TRUNG TRA PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.