NPI
Tiffany Renee Agra
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2010-01-13
- Last updated
- 2019-07-31
Specialties
Licenses
- License CA
- 103693
Location
- Practice location
- 23832 Rockfield Blvd Ste 120
- City
- Lake Forest CA
- Postal code
- 92630-2870
- Phone
- (949) 767-6396
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Lake Forest, CA. 1,423 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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