Provider Demographics
NPI:1801009352
Name:TRINH, KIMTHU (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIMTHU
Middle Name:
Last Name:TRINH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4565 RUFFNER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2258
Mailing Address - Country:US
Mailing Address - Phone:858-717-4196
Mailing Address - Fax:858-724-3800
Practice Address - Street 1:4565 RUFFNER ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2258
Practice Address - Country:US
Practice Address - Phone:858-717-4196
Practice Address - Fax:858-724-3800
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health