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Tiffany Jennifer Baumbach

Student in an Organized Health Care Education/Training Program in Van Nuys, CA. Individual provider (NPI-1).

NPI number1134868458
StatusActive
Last updated in NPPESJun 3, 2022

Details

NPI
1134868458
Entity type
Individual (NPI-1)
Name
Tiffany Jennifer Baumbach
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2022
Certification date
Jun 3, 2022
Last updated
Jun 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Other names

  • Tiffany Jennifer Baumbach (Professional Name)

Practice location

14600 Sherman Way Ste 100d
Van Nuys, CA 91405-5869

Phone 818-374-6901

Mailing address

18424 Bermuda St
Porter Ranch, CA 91326-3102

Phone 818-929-5332

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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