Chhun, Mardy

Chhun, Mardy is an sole proprietor health care provider with primary practice located at 4283 El Cajon Blvd Ste 100 , San Diego CA 92105-1289. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Chhun, Mardy can be contacted via phone (619) 521-1743.

Contact Information

Primary practice address
4283 El Cajon Blvd Ste 100 San Diego CA 92105-1289
Phone: (619) 521-1743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1770031080
LBN Legal business name Chhun, Mardy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2016
Last updated Aug 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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