Individual
DR. KATHRYN CALDWELL PERKINS TIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11160 WARNER AVE, SUITE 311, FOUNTAIN VALLEY, CA 92708-4055
(714) 850-7300
(714) 850-7310
Mailing address
11160 WARNER AVE STE 311, FOUNTAIN VALLLEY, CA 92708-4055
(714) 850-7300
(714) 957-7348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A104909
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
A104909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104909
MEDICAL LICENSE
CA
Enumeration date
08/24/2007
Last updated
11/03/2020
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