SearchCalifornia171M00000X

Tiffany Clark

NPI 1700619699 · on the registry since 2024 · sole proprietor

Practice

Address
401 E. 6th St
Suite 219
Los Angeles, CA 90014
Phone
(213) 374-4055

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
104100000X
172V00000X
Sex
Female
Record last updated
2024-08-26

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