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Search › California › 106H00000X

Tiffany O'Bannon

NPI 1528458817 · on the registry since 2015

Practice

Address
515 Columbia Ave
Los Angeles, CA 90017
Phone
(213) 249-9388
Fax
(213) 389-7993
Organisation at this address
Special Service For Groups, Inc.
Special Service For Groups, Inc.
Special Service For Groups, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
126

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-22

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