DR. PHONG BINH LUONG I


Address: 3380 Corte Cassis, Costa Mesa, CA 92626-1667
Phone: 7143607749

DR. PHONG BINH LUONG I (NPI# 1811331176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811331176
Entity Type Individual
Full Name DR. PHONG BINH LUONG I
Other Name DR. PHONG BINH LUONG I
Credential PSY.D.
Practice Address 3380 Corte Cassis
Costa Mesa
CA 92626-1667
Practice Telephone 7143607749
Mailing Telephone 7143607749
Enumeration Date 2013-04-17
Last Update Date 2013-04-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
Behavioral Health & Social Service Providers

Office Location

Street Address 3380 CORTE CASSIS
City COSTA MESA
State CA
Zip Code 92626-1667

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1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
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1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
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1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922666346 Trashanay Lakeya Johnson Psychologist 15374 Coleen St, Fontana, CA 92337-9040 2019-05-31
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1750843603 Chelsea K Morris Psychologist 112 7th St Unit C, Santa Rosa, CA 95401-6203 2019-04-01
1124513379 Sarah Edem Psychologist 900 E 1st St Apt 108, Los Angeles, CA 90012-4038 2018-06-28
1588152573 Kenneth Jones Jr. Psychologist 13634 Mayflower St, Victorville, CA 92392-8366 2018-04-25
1932565207 Home Base: Parenting Fundamentals Psychologist 411 30th St Ste 514, Oakland, CA 94609-3303 2016-01-02
1821470337 Devon Cortright Psychologist 4421 Gilbert St, Apt 111, Oakland, CA 94611-4652 2015-06-19
1730510744 Robyn Lisa Bettenhausen Geis Psychologist 840 Town & Country Rd, Orange, CA 92868 2013-12-02
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Competitor

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City COSTA MESA
Zip Code 92626

Improve Information

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Dataset Information

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.

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