Individual
TIFFANY THIENTHAO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11199 SORRENTO VALLEY RD STE 202, SAN DIEGO, CA 92121-1334
(858) 282-0212
Mailing address
11199 SORRENTO VALLEY RD STE 202, SAN DIEGO, CA 92121-1334
(868) 282-0212
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A202627
CA
Other
Enumeration date
04/05/2019
Last updated
11/18/2025
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