Provider Demographics
NPI:1396001962
Name:SINCLAIR, TIFFANY JOY (MD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:JOY
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35100 MAKENA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-8458
Mailing Address - Country:US
Mailing Address - Phone:833-863-3627
Mailing Address - Fax:
Practice Address - Street 1:35100 MAKENA AVE STE 201
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-8458
Practice Address - Country:US
Practice Address - Phone:833-863-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126473208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery