Individual
DR. TYLER JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S BLDG 29A, ORANGE, CA 92868-3201
(714) 456-7801
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A131801
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A131801
CA
Other
Enumeration date
05/28/2013
Last updated
07/17/2024
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