Individual
DR. TIFFANY NICOLE TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
402 DICKINSON ST, SUITE 380, SAN DIEGO, CA 92103-6902
(619) 290-7497
Mailing address
PO BOX 232410, SUITE 380, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A119740
CA
Other
Enumeration date
12/08/2010
Last updated
01/24/2017
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