1972822989 NPI number — DR. TIFFANY HSU HAM D.D.S., M.S.

Table of content: DR. TIFFANY HSU HAM D.D.S., M.S. (NPI 1972822989)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972822989 NPI number — DR. TIFFANY HSU HAM D.D.S., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAM
Provider First Name:
TIFFANY
Provider Middle Name:
HSU
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S., M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HSU
Provider Other First Name:
TIFFANY
Provider Other Middle Name:
HUEY
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.D.S., M.S.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972822989
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
355 LENNON LN
Provider Second Line Business Mailing Address:
#215
Provider Business Mailing Address City Name:
WALNUT CREEK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94598-2475
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-482-6223
Provider Business Mailing Address Fax Number:
925-357-3777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 LENNON LN
Provider Second Line Business Practice Location Address:
#215
Provider Business Practice Location Address City Name:
WALNUT CREEK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94598-2475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-482-6223
Provider Business Practice Location Address Fax Number:
925-357-3777
Provider Enumeration Date:
06/01/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  54878 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)