Provider Demographics
NPI:1891007084
Name:TRINH, TIFFANY T (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:T
Last Name:TRINH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3701 SKYPARK DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4712
Mailing Address - Country:US
Mailing Address - Phone:310-378-2234
Mailing Address - Fax:310-378-9795
Practice Address - Street 1:3701 SKYPARK DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4712
Practice Address - Country:US
Practice Address - Phone:310-378-2234
Practice Address - Fax:310-378-9795
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA120697207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program