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Individual
TIARA ONG
Active
Individual
TIARA ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A169216
CA
207R00000X
Internal Medicine Physician
Primary
ME159891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A169216
STATE LICENSE
CA
Enumeration date
04/20/2017
Last updated
05/12/2023
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