Individual
TYLER SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ST PAUL AVE STE 200, LOS ANGELES, CA 90017-5686
(213) 482-6400
Mailing address
600 ST PAUL AVE STE 200, LOS ANGELES, CA 90017-5686
(213) 482-6400
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41287
CA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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