Individual
DR. KARL PONGYINGPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-8025
(619) 553-0370
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY26261
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY26261
CA
103TC0700X
Clinical Psychologist
PSY26261
CA
103TP2701X
Group Psychotherapy Psychologist
PSY26261
CA
Other
Enumeration date
04/20/2007
Last updated
09/25/2014
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