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1558313916
TISSA R HATA
SAN DIEGO, CA
NPI
1558313916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA G63547)
Enumeration Date
2006-05-16
Last Update Date
2020-06-08
Business Address
Dr. TISSA R HATA M.D.
200 WEST ARBOR DRIVE MC 8201 UCSD MEDICAL CENTER
SAN DIEGO, CA 92103-8201
Phone number: 619-543-3365
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Mailing Address
Dr. TISSA R HATA M.D.
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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