Mathias, Tiffany Lynn
Mathias, Tiffany Lynn is an individual health care provider with primary practice located at 441 Old Newport Blvd , Newport Beach CA 92663-4233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Mathias, Tiffany Lynn can be contacted via phone (949) 491-9991.Contact Information
Primary practice address
441 Old Newport Blvd
Newport Beach CA 92663-4233
Phone: (949) 491-9991
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MT211248 | Pennsylvania |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A161559 | California |
Profile Details
NPI number | 1891144580 |
---|---|
LBN Legal business name | Mathias, Tiffany Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2016 |
Last updated | Dec 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891144580 | NPPES |
California | Other | A161559 | MEDICAL LIC |
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