Tyler Basen MD INC
NPI #1598374456 in Mission Viejo, California
Provider Information
- NPI Number
- 1598374456
- Entity Type
- Organization
- Organization Name
- Tyler Basen MD INC
- Primary Specialty
- Internal Medicine - Allergy & Immunology
- Enumeration Date
- Jul 27, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 26691 PLAZA STE 170
- City
- Mission Viejo
- State
- California
- ZIP Code
- 92691-6396
- Phone
- (949) 755-6414
Authorized Official
- Name
- TYLER BASEN, MD
- Title
- ALLERGIST
- Phone
- (301) 922-5927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Allergy & Immunology — Allergy & Immunology |
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