Dr. Tina Siu
Orthodontists
2595 Huntington Dr
San Marino
, California 91108-2235
Dr. Tina Siu
Orthodontists
2595 Huntington Dr
San Marino
, California 91108-2235
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Tina Siu
- 2595 Huntington Dr
- San Marino, CA
- Zip : 91108-2235
- Phone :
Second Address
- Dr. Tina Siu
- 2595 Huntington Dr
- San Marino, CA
- Zip : 91108-2235
- Phone : (626) 796-0615
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 034421 | CA |
National Provider Identifier
| NPI | 1013350602 |
|---|---|
| Provider Name | Dr. Tina Siu |
| First Address | San Marino, CA 91108-2235 |
| Second Address | San Marino, CA 91108-2235 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2013 |
| Last Update Date | 12/04/2013 |
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.