MR. KION FUKUDA
NPI 1366019861
Counselor - Mental Health in Chula Vista, CA
Active since June 04, 2021
About Mr. Kion Fukuda NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KION FUKUDA (NPI 1366019861) is an individual mental health provider in Chula Vista, California and active in the NPI registry since June 2021. He maintains a secondary practice location in San Diego.
NPPES Registry Identity
NPI1366019861
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KION FUKUDA
Location Address1196 3RD AVEChula Vista, CA 91911-3131
Mailing Address1196 3rd AveChula Vista, CA 91911-3131 · (619) 427-4661
Phone(619) 427-4661
Sole ProprietorNo
Enumeration DateJune 4, 2021
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1366019861 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1196 3RD AVE, Chula Vista, CA 91911
Secondary Practice Location 1
Location 1892 27th StSan Diego, CA 92154-1444 · Phone (619) 575-4687 · Fax (619) 575-1215
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
1196 3RD AVE
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
Student in an Organized Health Care Education/Training Program
1196 3RD AVE
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366019861, enumerated as an "individual" on June 04, 2021.
The provider is located at 1196 3RD AVE CHULA VISTA, CA 91911 and the phone number is (619) 427-4661.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.