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Provider Information for 1497883201


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TIFFANY UNG MSW


Sex: Female

NPI: 1497883201
Last Updated: 2016-04-27
Certification Date:

Details

NameValue
NPI1497883201
Enumeration Date2007-03-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1735 MISSION ST
SAN FRANCISCO, CA 94103-2417
United States

Phone: 415-762-3700 | Fax:
 
Primary Practice Address 2020 HAYES ST
SAN FRANCISCO, CA 94117-1128
United States

Phone: 415-750-5125 | Fax:415-386-2048
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker CA
Yes 1041C0700X - Social Worker - ClinicalCALCSW64156