Healthcare Provider Details

I. General information

NPI: 1811345671
Provider Name (Legal Business Name): TIFFANY ANWHAY TSUI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 COLIMA RD STE 2400
WHITTIER CA
90605-1817
US

IV. Provider business mailing address

14269 LYONNAIS ST
EASTVALE CA
92880-9451
US

V. Phone/Fax

Practice location:
  • Phone: 562-693-7761
  • Fax:
Mailing address:
  • Phone: 909-979-7759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS101915
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: