Individual
TIFFANY GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34102 LA PLZ STE C, DANA POINT, CA 92629-6524
(949) 354-1020
Mailing address
33601 RISING TIDE CT, DANA POINT, CA 92629-1924
(949) 354-1020
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
01/26/2026
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