Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Eun Ortlip, MD

Individual provider Otolaryngology Physician · NPI 1518223981

Dr. Timothy Eun Ortlip, MD is an Otolaryngology in Fremont, California. Qualified in 2012, 14 years ago. Practices with Og Medical Inc, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
14
Licensed in
CA, PA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2557 Mowry Ave Ste 30
Fremont, CA 94538
Phone: (510) 248-1590
Fax: (510) 795-1459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2557 Mowry Ave Ste 30, Fremont, CA 94538 — (510) 248-1590
  • 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 — (215) 955-6760

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence A155301 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MD460908 (PA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence MD460908 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518223981
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESJanuary 29, 2019
Mailing address2557 Mowry Ave Ste 30, Fremont, CA 94538-1614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Og Medical Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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