Individual
DR. TIFFANY J TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2496 BAUER ROAD, SAN DIEGO, CA 92145-1044
(858) 307-4645
(858) 307-9849
Mailing address
2496 BAUER ROAD, SAN DIEGO, CA 92145-0001
(858) 307-9907
(858) 307-9849
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
10/02/2023
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