DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SOFIE LING CHAMPASSAK PHD

MEDICARE: DR. SOFIE LING CHAMPASSAK PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY30201CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PSY30201OTHERCAPSYCHIATRY

General Provider Information

NPI Number : 1114405305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFIE LING CHAMPASSAK PHD
Provider Business Mailing Address
First Line : PO BOX 26331
Second Line :
City : SAN DIEGO
State : CA
Zip : 92196-0331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3411 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4906
Country : US
Telephone Number : 619-722-5797
Fax Number : 619-354-2480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 09/03/2019

Similar Medicare Providers

1700891199 — MS. EVE M. BOYER M.A., MFT
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-298-5835
Practice Fax:
1164524054 — MR. PETE MCCLINTOCK M.A., MFT
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-299-0975
Practice Fax: 619-291-6738
1588806681 — RICHARD D WEST M.A.
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-274-4500
Practice Fax:
1194037663 — MS. MARGARET LOIS GURMAN BURGESS LCSW
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-977-5461
Practice Fax:
1598022907 — COLLEEN AUTH LCSW
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-818-2256
Practice Fax: 858-373-2148
1447704598 — ANDREA PAPE ROSE L.C.S.W.
Practice Location Address:
3411 3RD AVE
SAN DIEGO, CA
92103-4906
Practice Phone: 619-993-3883
Practice Fax: 619-330-7124

Directions to “ DR. SOFIE LING CHAMPASSAK PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.