Dr. Tissa R Hata, MD
Dr. Tissa R Hata, MD is a Dermatology in San Diego, California. Graduated from University of Southern California Keck School of Medicine in 1987, 39 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 39
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
200 W Arbor Drive Mc 8201 UCSD Medical CtrSan Diego, CA 92103-8201
Phone: (619) 543-3365
Fax: (619) 543-3183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G63547 (CA) |
|---|
Record details
| NPI number | 1558313916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | June 8, 2020 |
| Certification date | June 8, 2020 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 1987 (39 years in practice) |
| Group practice | Regents Of The University Of California — 2061 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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