Provider Demographics
NPI:1134827074
Name:VO, TIFFANY AI LAN HIEP (DPT)
Entity type:Individual
Prefix:DR
First Name:TIFFANY AI LAN
Middle Name:HIEP
Last Name:VO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 JOOST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3231
Mailing Address - Country:US
Mailing Address - Phone:415-531-2854
Mailing Address - Fax:
Practice Address - Street 1:2000 VAN NESS AVE STE 603
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3016
Practice Address - Country:US
Practice Address - Phone:415-440-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303326225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist