Provider Demographics
NPI:1124854567
Name:BUHL, HOPE TIFFANY
Entity type:Individual
Prefix:MISS
First Name:HOPE
Middle Name:TIFFANY
Last Name:BUHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13488 MAXELLA AVE APT 326
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-4325
Mailing Address - Country:US
Mailing Address - Phone:213-800-4048
Mailing Address - Fax:
Practice Address - Street 1:8939 S SEPULVEDA BLVD STE 401
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-3646
Practice Address - Country:US
Practice Address - Phone:310-645-5227
Practice Address - Fax:310-645-9840
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program