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Organization
DOUGLAS TYLER M.D. A PROFESSIONAL
Active
Organization
DOUGLAS TYLER M.D. A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS TYLER M.D. (OWNER)
(310) 828-0733
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD, SUITE 800, SANTA MONICA, CA 90403-4803
(310) 828-0733
(310) 828-0711
Mailing address
PO BOX 641115, LOS ANGELES, CA 90064-6115
(310) 470-0386
(310) 694-0119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G42734
CA
Other
Enumeration date
04/11/2016
Last updated
03/01/2017
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