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Tiffany Agra

NPI 1770813743 · on the registry since 2010 · sole proprietor

Practice

Address
23832 Rockfield Blvd Ste 120
Lake Forest, CA 92630
Phone
(949) 767-6396
Organisation at this address
Ira Bell
G. Fazilat, Inc
Farhad Nikoo Inc
Kim Tang, M.D., Inc.
Borntoebalanced.Com, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California