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

Ruby Phun

Individual provider Mental Health Counselor · NPI 1790206209

Ruby Phun is a Marriage and Family Therapist in Rosemead, California. Qualified in 2019, 7 years ago. Practices with Pacific Blue Psychological Services, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2418 San Gabriel Blvd Ste A
Rosemead, CA 91770-3674
Phone: (626) 386-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 128470 (CA)
Mental Health Counselor Taxonomy 101YM0800X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790206209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2017
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address500 E Live Oak St Unit B, San Gabriel, CA 91776-1510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pacific Blue Psychological Services — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rosemead