SearchCalifornia101YM0800X

Tiffany Fuentes

NPI 1457172249 · on the registry since 2024

Practice

Address
752 Via Otono
San Clemente, CA 92672
Phone
(949) 485-0673

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-15

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