# T J BYRON DPM MS PODIATRIST GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417099219
- **Authorized official:** TIMOTHY J BYRON DPM (PRESIDENT)
- **Authorized official phone:** (949) 364-3640

## Contact information

- **Practice address:** 26732 CROWN VALLEY PKWY, SUITE 271, MISSION VIEJO, CA 92691-6306
- **Practice address phone:** (949) 364-3640
- **Practice address fax:** (949) 364-3630
- **Mailing address:** 26732 CROWN VALLEY PKWY, SUITE 271, MISSION VIEJO, CA 92691-6306
- **Mailing address phone:** (949) 364-3640
- **Mailing address fax:** (949) 364-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1816 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020