Kenneth Tye, M.D., Inc.

LBN: Kenneth Tye, M.D., Inc.
Kenneth Tye, M.D., Inc. is an health care organization with primary practice located at 1250 S Sunset Ave #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. Kenneth Tye, M.D., Inc. can be contacted via phone (626) 960-6588, or through Tye, Kenneth via phone (626) 960-6588.

Contact Information

Primary practice address
1250 S Sunset Ave #202 West Covina CA 91790-3961
Phone: (626) 960-6588
Fax: (626) 338-0688
Website:
Map and Directions
Authorized official contact:
Name: Tye, Kenneth Doctor of Medicine (MD)
Phone: (626) 960-6588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A32035 California

Profile Details

NPI number 1568631901
LBN Legal business name Kenneth Tye, M.D., Inc.
DBA Doing business as
Authorized official Tye, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 18 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 1568631901 NPPES
California MEDICAID 00A320350

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