Individual
DR. JONATHAN TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 S SUNSET AVE, STE 202, WEST COVINA, CA 91790-3961
(626) 960-6588
(626) 338-0688
Mailing address
1250 S SUNSET AVE, STE 202, WEST COVINA, CA 91790-3961
(626) 960-6588
(626) 338-0688
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A44747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A44747
—
CA
Enumeration date
09/24/2006
Last updated
09/20/2016
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