Tiffany Smith, PA-C
Physician Assistant in Pasadena, CA. Individual provider (NPI-1).
NPI number1154773760
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1154773760
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Smith
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2016
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 53485 | CA | Yes |
Practice location
630 S Raymond Ave Unit 220Pasadena, CA 91105-3283
Phone 626-218-9500
Mailing address
Po Box 512185Los Angeles, CA 90051
Phone 626-775-3514
Other practice locations
18653 Ventura Blvd #134
Tarzana, CA 91356
Tarzana, CA 91356
Phone 818-281-8674
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All 90 Physician Assistant providers in Pasadena · All 12,802 providers in Pasadena
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