Individual
MR. TYLER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2575 YORBA LINDA BLVD, FULLERTON, CA 92831-1615
(805) 591-9245
Mailing address
1717 E BIRCH ST APT T203, BREA, CA 92821-5122
(805) 591-9245
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA65538
CA
Other
Enumeration date
06/27/2023
Last updated
01/09/2025
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