Provider Demographics
NPI:1013292358
Name:DOTE, TIFFANY WONG (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:WONG
Last Name:DOTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:KAR-YEE
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6650 ALTON PKWY
Mailing Address - Street 2:WOMEN'S HEALTH SERVICES ATTN: MARIA VASQUEZ
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3734
Mailing Address - Country:US
Mailing Address - Phone:714-644-2381
Mailing Address - Fax:949-932-6348
Practice Address - Street 1:6650 ALTON PKWY
Practice Address - Street 2:WOMEN'S HEALTH SERVICES ATTN: MARIA VASQUEZ
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3734
Practice Address - Country:US
Practice Address - Phone:714-644-2381
Practice Address - Fax:949-932-6348
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113828207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology