Individual
CHAN SUP OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 KENYON ST STE 101, SAN DIEGO, CA 92110-5341
(619) 600-0683
Mailing address
3555 KENYON ST STE 101, SAN DIEGO, CA 92110-5341
(619) 600-0683
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94029498
CA
106S00000X
Behavior Technician
RBT-26-539950
CA
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up