TANYA M POPOFF SUDCC NPI 1184111478

NPI Information

NPI: 1184111478
Provider Name: TANYA M POPOFF, SUDCC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103
Phone: (858) 280-4551
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Tanya M Popoff, SUDCC is an addiction (substance use disorder) counselor in San Diego, CA. Tanya M Popoff, SUDCC NPI is 1184111478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103-105
Phone: (858) 280-4551

The enumeration date for this NPI number is 4/23/2018 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	8757	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	AII063271221	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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