KHOEUN CHHAN BAEZA
NPI 1487310496
Counselor - Mental Health in Clovis, CA

Q: What is Khoeun Baeza's NPI number?

The NPI number for Khoeun Baeza is 1487310496. It was assigned to this individual provider in the NPPES registry on November 14, 2021. The provider is also known as Khoeun Sok Chhan.

Q: What is Khoeun Baeza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Khoeun Baeza was last updated on November 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2021

3802 DUNCAN AVE, CLOVIS, CA 93619(559) 917-0740 Get Directions Write a Review

NPPES record last updated: November 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Khoeun Chhan Baeza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHOEUN CHHAN BAEZA (NPI 1487310496) is an individual mental health provider in Clovis, California, licensed in California (LMFT111805) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1487310496

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKHOEUN CHHAN BAEZA

Location Address3802 DUNCAN AVEClovis, CA 93619-5174

Mailing Address3802 Duncan AveClovis, CA 93619-5174 · (559) 917-0740

Phone(559) 917-0740

Sole ProprietorNo

Enumeration DateNovember 14, 2021

NPPES CertifiedNovember 14, 2021

✔ NPI 1487310496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · LMFT111805

3802 DUNCAN AVE, Clovis, CA 93619

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Other Names 1

Former Name (1)Khoeun Sok Chhan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khoeun Baeza's NPI number?

The NPI number for Khoeun Baeza is 1487310496. It was assigned to this individual provider in the NPPES registry on November 14, 2021. The provider is also known as Khoeun Sok Chhan.

Where is Khoeun Baeza located?

Khoeun Baeza practices at 3802 Duncan Ave, Clovis, CA 93619. The listed phone number is (559) 917-0740.

What is Khoeun Baeza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Khoeun Baeza was last updated on November 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.