Individual
DR. TISSA R HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 WEST ARBOR DRIVE MC 8201, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-8201
(619) 543-3365
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G63547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G635470
—
CA
Enumeration date
05/16/2006
Last updated
06/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us