Provider Demographics
NPI:1366610545
Name:ABUEG, GIAN-TRISHA ESPERANZA
Entity type:Individual
Prefix:MRS
First Name:GIAN-TRISHA
Middle Name:ESPERANZA
Last Name:ABUEG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GIAN-TRISHA
Other - Middle Name:ABUEG
Other - Last Name:NOCON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1100 SPORTFISHER DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2550
Mailing Address - Country:US
Mailing Address - Phone:760-439-6702
Mailing Address - Fax:
Practice Address - Street 1:1100 SPORTFISHER DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2550
Practice Address - Country:US
Practice Address - Phone:760-439-6702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker