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TIFFANY JOY MALLICK ATC
NPI 1497103543
Specialist in La Verne, CA

Active since May 31, 2016
5092 OAK BEND DR, LA VERNE, CA 91750(909) 973-7888 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Joy Mallick Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY JOY MALLICK ATC (NPI 1497103543) is an individual specialist in La Verne, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1497103543
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTIFFANY JOY MALLICKCredential: ATC
Location Address5092 OAK BEND DRLa Verne, CA 91750-1512
Mailing Address5092 Oak Bend DrLa Verne, CA 91750-1512 · (909) 973-7888
Phone(909) 973-7888
Sole ProprietorYes
Enumeration DateMay 31, 2016
✔ NPI 1497103543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5092 OAK BEND DR, La Verne, CA 91750
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Mallick's NPI number?

The NPI number for Tiffany Mallick is 1497103543. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Tiffany Mallick located?

Tiffany Mallick practices at 5092 Oak Bend Dr, La Verne, CA 91750. The listed phone number is (909) 973-7888.

What is Tiffany Mallick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tiffany Mallick was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.