Individual
DR. TIFFANY WANG GENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9449 IMPERIAL HWY STE 128, DOWNEY, CA 90242-2814
(833) 574-2273
Mailing address
9449 IMPERIAL HWY STE 128, DOWNEY, CA 90242-2814
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
191022
CA
207Y00000X
Otolaryngology Physician
91743
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2017
Last updated
05/27/2025
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