Provider Demographics
NPI:1508062639
Name:TUONG, TINA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:TINA
Middle Name:
Last Name:TUONG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3021
Mailing Address - Country:US
Mailing Address - Phone:213-483-4791
Mailing Address - Fax:
Practice Address - Street 1:1127 MOHAWK ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3021
Practice Address - Country:US
Practice Address - Phone:213-483-4791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor