Individual
TYLER DOORNINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2428 NAPLES, NEWPORT BEACH, CA 92660-3261
(949) 371-9773
Mailing address
2428 NAPLES, NEWPORT BEACH, CA 92660-3261
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A16380
CA
Other
Enumeration date
04/06/2016
Last updated
09/24/2020
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