Individual provider · Type 1 NPI

Tiffany Monique Gaines

Student in an Organized Health Care Education/Training Program · Gardena, CA

NPI number 1710722673 Active

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Call (562) 432-0713 Map

Other practice locations

  • 514 W Pacific Coast Hwy, Long Beach, CA 90806-5237 · (562) 432-0713
  • 514 W Pacific Coast Highway, Long Beach, CA 90806
  • 1310 W D St, Wilmington, CA 90744-4950 · (323) 485-7073

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X16837-RAC (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710722673

Tiffany Monique Gaines's National Provider Identifier is 1710722673, issued on Jul 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Jul 1, 2024.