Provider Demographics
NPI:1134722549
Name:YIP, TIFFANY ANN (MMSC, CGC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:YIP
Suffix:
Gender:F
Credentials:MMSC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VAN NESS AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6978
Mailing Address - Country:US
Mailing Address - Phone:844-733-2762
Mailing Address - Fax:
Practice Address - Street 1:1100 VAN NESS AVE FL 7
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6978
Practice Address - Country:US
Practice Address - Phone:844-733-2762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000997170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS