Individual
TIFFANY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 19TH ST, COSTA MESA, CA 92627-3517
(949) 645-9334
(949) 645-9378
Mailing address
20001 N NEW BRITAIN LN, HUNTINGTON BEACH, CA 92646-4422
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
17563
CA
Other
Enumeration date
10/31/2006
Last updated
12/06/2021
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