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

Phung Giai Tieu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982814349

Phung Giai Tieu is a Student in an Organized Health Care Education/Training Program in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Phone: (858) 699-6919
Fax: (408) 975-2745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY26928 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982814349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

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