Phan, Tiffany

Phan, Tiffany is an sole proprietor health care provider with primary practice located at 11100 Warner Ave Ste 368 , Fountain Valley CA 92708-7514. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phan, Tiffany can be contacted via phone (714) 410-1025.

Contact Information

Primary practice address
11100 Warner Ave Ste 368 Fountain Valley CA 92708-7514
Phone: (714) 410-1025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 95163375 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95026174 California

Profile Details

NPI number 1205520855
LBN Legal business name Phan, Tiffany
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2023
Last updated Jun 29th, 2024 - about 2 years ago

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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