Individual
ANN TINTLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3800 KILROY AIRPORT WAY, LONG BEACH, CA 90806-2494
(213) 669-6453
Mailing address
3800 KILROY AIRPORT WAY, LONG BEACH, CA 90806-2494
(213) 669-6453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62312
CA
Other
Enumeration date
02/08/2023
Last updated
04/01/2023
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