Tieu, Phung Giai

Tieu, Phung Giai is an individual health care provider with primary practice located at 2400 Moorpark Ave Ste 300 , San Jose CA 95128-2680. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tieu, Phung Giai can be contacted via phone (858) 699-6919.

Contact Information

Primary practice address
2400 Moorpark Ave Ste 300 San Jose CA 95128-2680
Phone: (858) 699-6919
Fax: (408) 975-2745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26928 California

Profile Details

NPI number 1982814349
LBN Legal business name Tieu, Phung Giai
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 30th, 2021 - about 3 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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