Holly, Langston Tyler
Holly, Langston Tyler is an individual health care provider with primary practice located at 300 Medical Plz #200, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Holly, Langston Tyler can be contacted via phone (310) 825-5111.Contact Information
Primary practice address
300 Medical Plz #200
Los Angeles CA 90095-0001
Phone: (310) 825-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A62574 | California |
Profile Details
| NPI number | 1063437192 |
|---|---|
| LBN Legal business name | Holly, Langston Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 16th, 2010 - about 14 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 | 1063437192 | NPPES |
| California | MEDICAID | 00A625740 |
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