Edwards, Tiffany

Edwards, Tiffany is an sole proprietor health care provider with primary practice located at 13333 Palmdale Rd , Victorville CA 92392-9364. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Edwards, Tiffany can be contacted via phone (310) 988-9240.

Contact Information

Primary practice address
13333 Palmdale Rd Victorville CA 92392-9364
Phone: (310) 988-9240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1558850743
LBN Legal business name Edwards, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2018
Last updated May 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558850743 NPPES
California MEDICAID 172V00000X

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