Provider Demographics
NPI:1255219549
Name:NGUYEN, TIFFANI (MS)
Entity type:Individual
Prefix:MRS
First Name:TIFFANI
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 STAGECOACH
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0203
Mailing Address - Country:US
Mailing Address - Phone:714-420-9571
Mailing Address - Fax:
Practice Address - Street 1:15151 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6230
Practice Address - Country:US
Practice Address - Phone:714-894-7344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool