Phuong Tatyana Minh Lien

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

27081 Issued in CA

Practice address

12062 Valley View St Ste 220
Garden Grove, CA 92845-1739

Phone

(562) 356-8600

NPI assigned

Sep 15, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1992583587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E PLYMOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908056225",
            "telephone_number": "562-276-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 220",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451739",
            "telephone_number": "562-356-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "PHUONG TATYANA",
        "middle_name": "MINH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Iraiz Licon
• Yadira Licona
• Licorish Medical Corporation
• Sharon Liekhus, P.A
• Lien Thi Khong
• John Michael Lies, DDS
• Lifang Mao MD Inc
• Life & Health Acupuncture & Herbs
• Life Care Senior Manor LLC
• Mercy Ligate, MASTERS DEGREE

• Clinical Child & Adolescent Psychologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.