Tiffany, Kelsey Dawn

Tiffany, Kelsey Dawn is an sole proprietor health care provider with primary practice located at 909 Pico Blvd , Santa Monica CA 90405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Tiffany, Kelsey Dawn can be contacted via phone (310) 314-6200.

Contact Information

Primary practice address
909 Pico Blvd Santa Monica CA 90405
Phone: (310) 314-6200
Fax: (310) 450-2024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1253020617 California
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN697274 California

Profile Details

NPI number 1699298679
LBN Legal business name Tiffany, Kelsey Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2017
Last updated Aug 23rd, 2018 - about 7 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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