Organization
TYLER BASEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BASEN MD (ALLERGIST)
(301) 922-5927
Entity
Organization
Contact information
Practice address
26691 PLAZA STE 170, MISSION VIEJO, CA 92691-6396
(949) 755-6414
(339) 207-0457
Mailing address
3 SANTA CRUZ AISLE, IRVINE, CA 92606-0813
(301) 922-5927
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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