# KARL VON TIEHL, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bowtie Allergy Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467886507
- **Authorized official:** DR. KARL FRIEDRICH VONTIEHL M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (858) 699-4949

## Contact information

- **Practice address:** 375 HUNTINGTON DR, SUITE C, SAN MARINO, CA 91108-2357
- **Practice address phone:** (626) 460-6038
- **Practice address fax:** (877) 886-6123
- **Mailing address:** 375 HUNTINGTON DR, SUITE C, SAN MARINO, CA 91108-2357
- **Mailing address phone:** (626) 460-6038
- **Mailing address fax:** (877) 886-6123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A95085 | CA | Yes |

## Other

- **Enumeration date:** 08/26/2013
- **Last updated:** 02/13/2014