Tiffany Blackham, HBCE, CD

NPI 1003708033 · on the registry since 2025 · sole proprietor

Practice

Address: 1525 Mesa Verde Dr E Ste 210
Costa Mesa, CA 92626
Phone: (702) 205-6073
Organisation at this address: St Cyril Inc
St Cyril Inc
Massage Sserenity
Total Body Aesthetic
Harbor Drug Company Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 374J00000X
374J00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California