Mardy Chhun, is a
Peer Specialist based in San Diego, California. Mardy Chhun is licensed to practice in * (Not Available) (license number ) and his current practice location is
4283 El Cajon Blvd Ste 100, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 521-1743.
NPI number for Mardy Chhun is 1770031080 and his current mailing address is 9465 Farnham St # 92123, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770031080.
Healthcare Provider's Profile
| Full Name | Mardy Chhun |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 4283 El Cajon Blvd Ste 100, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770031080
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Mardy Chhun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770031080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mardy Chhun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mardy Chhun,
9465 Farnham St # 92123,
San Diego, CA 92123-1308
Ph: (858) 573-2600 | Mardy Chhun,
4283 El Cajon Blvd Ste 100,
San Diego, CA 92105-1289
Ph: (619) 521-1743 |
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