Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | R73560 | AZ |
Y | 207VX0000X | Obstetrician | A160645 | CA |
NPI | 1235498510 |
---|---|
Provider Name | Dr. Tiffany Elkin Perry |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | Orinda, CA 94563-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 07/07/2020 |