Dr. Timothy Eun Ortlip
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2557 Mowry Ave Ste 30
Fremont
, California 94538
Dr. Timothy Eun Ortlip
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2557 Mowry Ave Ste 30
Fremont
, California 94538
(510) 795-1459
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Timothy Eun Ortlip
- 2557 Mowry Ave Ste 30
- Fremont, CA
- Zip : 94538-1614
- Fax : (510) 795-1459
- Phone : (510) 248-1590
Second Address
- Dr. Timothy Eun Ortlip
- 2557 Mowry Ave Ste 30
- Fremont, CA
- Zip : 94538
- Fax : (510) 795-1459
- Phone : (510) 248-1590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD460908 | PA |
| Y | 207YS0123X | Facial Plastic Surgeon | A155301 | CA |
| N | 207YS0123X | Facial Plastic Surgeon | MD460908 | PA |
National Provider Identifier
| NPI | 1518223981 |
|---|---|
| Provider Name | Dr. Timothy Eun Ortlip |
| First Address | Fremont, CA 94538-1614 |
| Second Address | Fremont, CA 94538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2012 |
| Last Update Date | 29/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.