Song, Tiffany

Song, Tiffany is an sole proprietor health care provider with primary practice located at 3600 Broadway , Oakland CA 94611-5730. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Song, Tiffany can be contacted via phone (510) 752-1100.

Contact Information

Primary practice address
3600 Broadway Oakland CA 94611-5730
Phone: (510) 752-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 95066323 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95001686 California

Profile Details

NPI number 1235784034
LBN Legal business name Song, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2019
Last updated Nov 9th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235784034 NPPES
California Other 95066323 BOARD OF NURSING

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