Tissa R Hata in San Diego - Dermatology

Tissa R Hata - NPI 1558313916

Tissa R Hata is a Dermatology in San Diego, California. Tissa R Hata practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Tissa R Hata is 1558313916. The last update date is 2020-06-08.

Tissa R Hata's current location address is 200 West Arbor Drive Mc 8201, San Diego, California. You can contact this provider via phone number 6195433365 and fax number 6195433183. The mailing address for Tissa R Hata is 200 West Arbor Drive Mc 8201, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tissa R Hata
Address 200 West Arbor Drive Mc 8201, San Diego, California
Phone Number 6195433365
Fax Number 6195433183
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558313916
Provider Enumeration Date 2006-05-16
Last Updated Date 2020-06-08

Provider Mailing Address Detail

Address 200 West Arbor Drive Mc 8201
City San Diego
State California (CA)
Post Code 9210382010
Phone Number 6195433365
Fax Number 6195433183

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No G63547
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G635470 CA --

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FAQs about Tissa R Hata

What is the unique 10-digit identification code issued to Tissa R Hata by the Centers for Medicare & Medicaid Services?

The Tissa R Hata has been assigned the NPI (National Provider Identifier) 1558313916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Tissa R Hata's facilities are situated?

The facilities of Tissa R Hata are physically located at the following address: 200 West Arbor Drive Mc 8201, San Diego, CA, 9210382010.

What is the Tissa R Hata's area of specialization and corresponding taxonomy classification?

The Tissa R Hata's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Tissa R Hata receive its 1558313916 assignment from the Centers for Medicare & Medicaid Services?

The Tissa R Hata was assigned its 1558313916 by the Centers for Medicare & Medicaid Services on 2006-05-16.

When was the information regarding Tissa R Hata, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tissa R Hata, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-06-08.

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