Healthcare Provider Details

I. General information

NPI: 1326283870
Provider Name (Legal Business Name): TIFFANY SUNSHINE WEEKS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 SORRENTO VALLEY BLVD
SAN DIEGO CA
92121-1407
US

IV. Provider business mailing address

PO BOX 749
AGUANGA CA
92536-0749
US

V. Phone/Fax

Practice location:
  • Phone: 858-246-9700
  • Fax:
Mailing address:
  • Phone: 480-720-5009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: