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MARDY CHHUN
NPI 1770031080
Peer Specialist in San Diego, CA

Active since September 15, 2016
4283 EL CAJON BLVD STE 100, SAN DIEGO, CA 92105(619) 521-1743 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mardy Chhun NPPES

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

MARDY CHHUN (NPI 1770031080) is an individual peer specialist in San Diego, California and active in the NPI registry since September 2016. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1770031080
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARDY CHHUN
Location Address4283 EL CAJON BLVD STE 100San Diego, CA 92105-1289
Mailing Address9465 Farnham St # 92123San Diego, CA 92123-1308 · (858) 573-2600
Phone(619) 521-1743
Sole ProprietorYes
Enumeration DateSeptember 15, 2016
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1770031080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4283 EL CAJON BLVD STE 100, San Diego, CA 92105
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Other Names 1

Former Name (1)Mardy Neang

Secondary Practice Location 1

Location 19465 Farnham St # 92123San Diego, CA 92123-1308 · Phone (858) 573-2600

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA FINN
Registered Nurse
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743
GERALD SIMPSON BA
Rehabilitation Practitioner
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743
DONOVAN ARMSTEAD
Adult Companion
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 857-7299
AARON J ESPINOZA
Rehabilitation Practitioner
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743
HELENE LEONARD SUDCC III
Rehabilitation Practitioner
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743
MS. TONYA RAE BROWN MSW
Social Worker (Clinical)
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 522-4583
EMILY SCHIFFER
Social Worker (Clinical)
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743
KELLEY BREMAN
Rehabilitation Practitioner
4283 EL CAJON BLVD STE 100
SAN DIEGO, CA 92105
San Diego County (619) 521-1743

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 Mardy Chhun's NPI number?

The NPI number for Mardy Chhun is 1770031080. It was assigned to this individual provider in the NPPES registry on September 15, 2016. The provider is also known as Mardy Neang.

Where is Mardy Chhun located?

Mardy Chhun practices at 4283 El Cajon Blvd Ste 100, San Diego, CA 92105. The listed phone number is (619) 521-1743.

What is Mardy Chhun's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mardy Chhun was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.