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

Chan Sup Oh

Individual provider Psychologist · NPI 1194642181

Chan Sup Oh is a Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

3555 Kenyon St Ste 101
San Diego, CA 92110-5341
Phone: (619) 600-0683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSB94029498 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-26-539950 (CA)

Record details

NPI number1194642181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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