Healthcare Provider Details

I. General information

NPI: 1144632019
Provider Name (Legal Business Name): TIFFANY ALBLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13866 MIDGROVE CT
POWAY CA
92064-4038
US

IV. Provider business mailing address

1223 CINCHONA ST
VISTA CA
92083-5627
US

V. Phone/Fax

Practice location:
  • Phone: 858-366-3283
  • Fax:
Mailing address:
  • Phone: 858-366-3283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: