Search › California › 152W00000X
Tiffany Yanase Park, OD
NPI 1194212894 · on the registry since 2018
Practice
- Address
- 11370 Anderson St Ste 1800
Loma Linda, CA 92354 - Phone
- (909) 558-2154
- Fax
- (909) 558-2180
- Organisation at this address
- Unilab Corporation
Faculty Medical Group Of Llusm
Faculty Physicians And Surgeons Of Llusm
Faculty Physicians And Surgeons Of Llusm
Faculty Physicians And Surgeons Of LlusmInferred from a shared address, not stated in the registry. - Clinicians at this address
- 377
Additional practice sites
- 5460 E La Palma Ave, Anaheim, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152WP0200X - Licence states on file
- CO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-02
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