Search › California › 175T00000X
Tiffany Willingham, SUDRC
NPI 1699507814 · on the registry since 2024 · sole proprietor
Practice
- Address
- 671 Governor St
Costa Mesa, CA 92627 - Phone
- (949) 343-6565
- Organisation at this address
- Casa Capri
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-16
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