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DR. TIMOTHY EUN ORTLIP M.D. NPI 1518223981


NPI Information

NPI: 1518223981
Provider Name: DR. TIMOTHY EUN ORTLIP, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: WASHINGTON TOWNSHIP MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2557 MOWRY AVE STE 30
FREMONT, CA
ZIP 94538
Phone: (510) 248-1590
Get Directions

DR. Timothy Eun Ortlip, M.D. is a facial plastic surgery otolaryngology in Fremont, CA with 12 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Timothy Eun Ortlip, M.D. NPI is 1518223981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2557 MOWRY AVE STE 30
FREMONT, CA
ZIP 94538
Phone: (510) 248-1590
Fax: (510) 795-1459

The NPI 1518223981 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 1/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyMD460908PENNSYLVANIANo
2207YS0123XOtolaryngologyFacial Plastic SurgeryMD460908PENNSYLVANIANo
3207YS0123XOtolaryngologyFacial Plastic SurgeryA155301CALIFORNIAYes
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.