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Individual

DR. TIN T HLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 JOSE FIGUERES AVE, SUITE 430, SAN JOSE, CA 95116-1500
(408) 929-6088
(408) 929-6087
Mailing address
200 JOSE FIGUERES AVE, SUITE 430, SAN JOSE, CA 95116-1500
(408) 929-6088
(408) 929-6087

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A36657
CA
207RH0003X
Hematology & Oncology Physician
Primary
A36657
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
#48
SANTA CLARA COUNTY IPA
CA
05
00A366570
CO
01
110010292
RAILROAD MEDICARE
CA
01
770375452
CPA TAX ID
CA
01
A36657
CA PHYSCIAN LICENSCE
CA
Enumeration date
05/11/2006
Last updated
03/07/2023
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