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Individual

DR. DAISY TINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4050 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604-7706
(949) 551-1090
(949) 262-5500
Mailing address
17360 BROOKHURST ST, ATTN: MCMF CREDENTIALING DEPT., FOUNTAIN VALLEY, CA 92708-3720

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41437
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A414370
CA
Enumeration date
11/10/2005
Last updated
10/13/2015
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