Hoogenboom, Tyler

Hoogenboom, Tyler is an sole proprietor health care provider with primary practice located at 17828 Mcnab Ave , Bellflower CA 90706-7015. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Hoogenboom, Tyler can be contacted via phone (562) 682-7258.

Contact Information

Primary practice address
17828 Mcnab Ave Bellflower CA 90706-7015
Phone: (562) 682-7258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95263248 California

Profile Details

NPI number 1699430223
LBN Legal business name Hoogenboom, Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2021
Last updated Nov 8th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699430223 NPPES
California MEDICAID 99001052G

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