Tyler D. Krohn, M.D., INC.
Pediatrics in Pacific Palisades, CA. Organization (NPI-2).
NPI number1316220080
StatusActive
Last updated in NPPESSep 20, 2011
Details
- NPI
- 1316220080
- Entity type
- Organization (NPI-2)
- Legal business name
- Tyler D. Krohn, M.D., INC.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2011
- Last updated
- Sep 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A106309 | CA | Yes |
Practice location
881 Alma Real DrSuite 316
Pacific Palisades, CA 90272-3731
Phone 310-929-5538 · Fax 310-929-5537
Mailing address
881 Alma Real DrSuite 316
Pacific Palisades, CA 90272-3731
Authorized official
Tyler Krohn
Owner/ President
3109295538
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