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NPI Code Detail

MEDICARE: TIFFANY CYANA GARCIA LCSW

MEDICARE: TIFFANY CYANA GARCIA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker82557CA

General Provider Information

NPI Number : 1336274679
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY CYANA GARCIA LCSW
Provider Business Mailing Address
First Line : 2000 EMBARCADERO STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5300
Country : US
Telephone Number : 510-470-4218
Fax Number :
Provider Business Practice Location Address
First Line : 2000 EMBARCADERO STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5300
Country : US
Telephone Number : 510-470-4218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 10/25/2021

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