Individual
HERBERT S. TIQUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 211, GARDEN GROVE, CA 92843-1916
(714) 636-2890
Mailing address
12665 GARDEN GROVE BLVD. STE 211, GARDEN GROVE, CA 92843-1916
(714) 636-2890
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A63879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75439Z
—
CA
Enumeration date
03/15/2006
Last updated
09/07/2007
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