Individual
TIFFANY NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 BARRANCA PKWY, IRVINE, CA 92604-4652
(949) 936-5000
Mailing address
12100 PORTOLA SPRINGS PKWY, IRVINE, CA 92618-8875
(646) 709-1226
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
295863
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
295863
CA
Other
Enumeration date
01/16/2019
Last updated
04/15/2026
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