Individual provider · Type 1 NPI

Chan Sup Oh

Psychologist · San Diego, CA

NPI number 1194642181 Active

Practice location

3555 Kenyon St Ste 101
San Diego, CA 92110-5341

Call (619) 600-0683 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSB94029498 (CA)
Behavior Technician 106S00000XRBT-26-539950 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1194642181

Chan Sup Oh's National Provider Identifier is 1194642181, issued on Jul 1, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 1, 2026.