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NPI Code Detail

MEDICARE: TIFFANY ALYESH

MEDICARE: TIFFANY ALYESH
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
1235Z00000XSpeech-Language Pathologist9525CA

General Provider Information

NPI Number : 1619374626
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY ALYESH
Provider Business Mailing Address
First Line : 16255 VENTURA BLVD STE 1015
Second Line :
City : ENCINO
State : CA
Zip : 91436-2318
Country : US
Telephone Number : 818-941-3388
Fax Number : 833-741-7014
Provider Business Practice Location Address
First Line : 16255 VENTURA BLVD STE 1015
Second Line :
City : ENCINO
State : CA
Zip : 91436-2318
Country : US
Telephone Number : 818-818-9413
Fax Number : 833-741-7014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2014
Last Update Date : 03/31/2021

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Directions to “ TIFFANY ALYESH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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