TIMOTHY EUN ORTLIP

FREMONT, CA
NPI1518223981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YS0123X Otolaryngology Facial Plastic Surgery
(Licence: CA  A155301)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: PA  MD460908)
207YS0123X Otolaryngology Facial Plastic Surgery
(Licence: PA  MD460908)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-04-10
Last Update Date2019-01-29
Business Address
DR. TIMOTHY EUN ORTLIP M.D.
2557 MOWRY AVE STE 30
FREMONT, CA 94538
Phone number: 510-248-1590
Mailing Address
DR. TIMOTHY EUN ORTLIP M.D.
2557 MOWRY AVE STE 30
FREMONT, CA 94538-1614
Phone number: 510-248-1590