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

Tien Phan Psychologist, PC

Organization Clinical Psychologist · NPI 1902669815

Tien Phan Psychologist, PC provides Clinical Psychologist services in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5755 Oberlin Dr Ste 203
San Diego, CA 92121-1786
Phone: (858) 218-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1902669815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tien Phan — Clinical Psychologist · (415) 728-5445
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateJanuary 30, 2024
Mailing address5663 Balboa Ave Ste 380, San Diego, CA 92111-2705

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