Organization
KATHRYN PERKINS TIFT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN CALDWELL PERKINS TIFT M.D. (PRESIDENT)
(714) 850-7300
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, STE 311, FOUNTAIN, CA 92708-4055
(714) 850-7300
(714) 957-7348
Mailing address
11160 WARNER AVE, STE 311, FOUNTAIN, CA 92708-4055
(714) 850-7300
(714) 957-7348
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A104909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104909
MEDICAL LICENSE
CA
Enumeration date
11/15/2012
Last updated
11/15/2012
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