Cobb, Tyson
Cobb, Tyson is an sole proprietor health care provider with primary practice located at 1140 W La Veta Ave Suite 640, Orange CA 92868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Cobb, Tyson can be contacted via phone (714) 564-3300.Contact Information
Primary practice address
1140 W La Veta Ave Suite 640
Orange CA 92868
Phone: (714) 564-3300
Fax: (949) 231-5112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | C35334 | California |
Profile Details
| NPI number | 1710982061 |
|---|---|
| LBN Legal business name | Cobb, Tyson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710982061 | NPPES |
| California | Other | DB3373 | RAILROAD MEDICARE |
| California | Other | W13988A | RAILROAD MEDICARE |
| California | Other | W13988 | RAILROAD MEDICARE |
| California | Other | 060065322 | RAILROAD MEDICARE |
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