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Individual

DR. ELIZABETH TIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-4272
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
170465
CA
2084P0804X
Child & Adolescent Psychiatry Physician
256438
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03477176
NY
Enumeration date
07/03/2008
Last updated
07/11/2022
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