Douglas Tyler M.d. a Professional

NPI #1881058303 in Santa Monica, California

Provider Information

NPI Number
1881058303
Entity Type
Organization
Organization Name
Douglas Tyler M.d. a Professional
Primary Specialty
Internal Medicine
Enumeration Date
Apr 11, 2016
Last Updated
Mar 1, 2017

Practice Location

Address
2811 WILSHIRE BLVD
Address 2
SUITE 800
ZIP Code
90403-4803
Phone
(310) 828-0733

Authorized Official

Name
DOUGLAS TYLER, M.D.
Title
OWNER
Phone
(310) 828-0733

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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