| Tiffany Dawn Wilson, M.d., Inc. | |
|
4950 Barranca Pkwy Suite 201 Irvine CA 92604-4671 | |
| (949) 262-7075 | |
| (714) 899-4275 |
| Full Name | Tiffany Dawn Wilson, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4950 Barranca Pkwy, Irvine, California |
| Authorized Official Name and Position | Tiffany Dawn Wilson (OWNER) |
| Authorized Official Contact | 9492627075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Wilson, M.d., Inc. 4950 Barranca Pkwy Suite 201 Irvine CA 92604-4671 Ph: (949) 262-7075 | Tiffany Dawn Wilson, M.d., Inc. 4950 Barranca Pkwy Suite 201 Irvine CA 92604-4671 Ph: (949) 262-7075 |
| NPI Number | 1841326774 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841326774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70066 (California) | Primary |
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