Individual
TIFFANY L LAFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18800 MAIN ST STE 103, HUNTINGTON BEACH, CA 92648-1717
(714) 842-8100
(310) 325-8109
Mailing address
1360 W 6TH STREET, SUITE 200, SAN PEDRO, CA 90732
(310) 781-1414
(310) 781-1425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
95008447
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95008447
CA
Other
Enumeration date
01/29/2018
Last updated
09/25/2019
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