Healthcare Provider Details
I. General information
NPI: 1780501676
Provider Name (Legal Business Name): TIFFANY TUFTEE ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
624 FREDERICK ST
SANTA CRUZ CA
95062-2203
US
IV. Provider business mailing address
21135 E CLIFF DR
SANTA CRUZ CA
95062-4835
US
V. Phone/Fax
- Phone: 831-515-6049
- Fax: 831-400-3345
- Phone: 831-515-6049
- Fax: 831-400-3345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIFFANY
MARIE
TUFTEE
Title or Position: OWNER
Credential: L.AC., DIPL.O.M.;QME
Phone: 831-515-6049