| Dr Tiffany M King, Pc | |
|
336 Diablo Rd Danville CA 94526-3417 | |
| (925) 837-4676 | |
| Not Available |
| Full Name | Dr Tiffany M King, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 336 Diablo Rd, Danville, California |
| Authorized Official Name and Position | Tiffany King (CEO,CFO) |
| Authorized Official Contact | 4157489933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany M King, Pc 24 Copperfield Ln Danville CA 94506-1131 Ph: (415) 748-9933 | Dr Tiffany M King, Pc 336 Diablo Rd Danville CA 94526-3417 Ph: (925) 837-4676 |
| NPI Number | 1053163816 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 0042753402 |
|---|---|
| Medicare Enrollment ID | O20240613004122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053163816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tiffany M King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023386174 PECOS PAC ID: 3274771142 Enrollment ID: I20130605000038 |
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