Individual
DR. TYCEL JOVELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101826
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301101826
MI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C178254
CA
207RH0003X
Hematology & Oncology Physician
4301101826
MI
207RX0202X
Medical Oncology Physician
C178254
CA
Other
Enumeration date
12/04/2008
Last updated
05/04/2022
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