Jonathan J Tye, Md A Professional Corp

LBN: Jonathan J Tye, Md A Professional Corp
Jonathan J Tye, Md A Professional Corp is an health care organization with primary practice located at 1250 S Sunset Ave Ste 202, West Covina CA 91790-3961. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jonathan J Tye, Md A Professional Corp can be contacted via phone (626) 960-6588, or through Tye, Jonathan via phone (626) 960-6588.

Contact Information

Primary practice address
1250 S Sunset Ave Ste 202 West Covina CA 91790-3961
Phone: (626) 960-6588
Fax: (626) 338-0688
Website:
Map and Directions
Authorized official contact:
Name: Tye, Jonathan M.D., F.A.C.C.
Phone: (626) 960-6588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A44747 California

Profile Details

NPI number 1578835021
LBN Legal business name Jonathan J Tye, Md A Professional Corp
DBA Doing business as
Authorized official Tye, Jonathan M.D., F.A.C.C.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2012
Last updated Nov 28th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578835021 NPPES
Other FT604A MEDICARE ORGANIZATION PTAN
Other 110182967 MEDICARE ORGANIZATION PTAN
MEDICAID 00A447470 MEDICARE ORGANIZATION PTAN

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