Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tien Phan Psychologist, PC

Organization Clinical Psychologist · NPI 1902669815

Tien Phan Psychologist, PC is a Clinical Psychologist in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5755 Oberlin Dr Ste 203
San Diego, CA 92121-1786
Phone: (858) 218-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1902669815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tien Phan — Clinical Psychologist · (415) 728-5445
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateJanuary 30, 2024
Mailing address5663 Balboa Ave Ste 380, San Diego, CA 92111-2705

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