Individual
PHYLLIS TIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 CLEMENT ST, INFECTIOUS DISEASES SECTION 111W, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 379-5523
Mailing address
4150 CLEMENT ST, INFECTIOUS DISEASES SECTION 111W, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
(415) 379-5523
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G077758
CA
Other
Enumeration date
08/26/2006
Last updated
07/17/2007
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