Hadduck, Tyson A.

Hadduck, Tyson A. is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Hadduck, Tyson A. can be contacted via phone (310) 301-6800.

Contact Information

Primary practice address
10833 Le Conte Ave Los Angeles CA 90095-3075
Phone: (310) 301-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A127728 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A127728 California

Profile Details

NPI number 1336409382
LBN Legal business name Hadduck, Tyson A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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