Provider Demographics
NPI:1699578732
Name:CHEN, TIFFANY YOULING (MD)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:YOULING
Last Name:CHEN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 O'CONNOR DRIVE
Mailing Address - Street 2:#250
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-283-7676
Mailing Address - Fax:408-283-7646
Practice Address - Street 1:455 O'CONNOR DRIVE
Practice Address - Street 2:#250
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-283-7676
Practice Address - Fax:408-283-7646
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program