Tiffany Y Sui, | |
39350 Civic Center Dr, Fremont, CA 94538-2343 | |
(510) 494-4000 | |
Not Available |
Full Name | Tiffany Y Sui |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 39350 Civic Center Dr, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912466723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 177612 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Y Sui, 39350 Civic Center Dr Fl 2, Fremont, CA 94538-2343 Ph: () - | Tiffany Y Sui, 39350 Civic Center Dr, Fremont, CA 94538-2343 Ph: (510) 494-4000 |
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