Tyrone L Hardy Md

LBN: San Diego Neurological Disorders
Tyrone L Hardy Md is an health care organization with primary practice located at 5565 Grossmont Center Drive #1-119 , La Mesa CA 91942. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. San Diego Neurological Disorders can be contacted via phone (619) 464-3153, or through Hardy, Tyrone Leslie via phone (619) 464-3153.

Contact Information

Primary practice address
5565 Grossmont Center Drive #1-119 La Mesa CA 91942
Phone: (619) 464-3153
Fax: (619) 464-3429
Website:
Map and Directions
Authorized official contact:
Name: Hardy, Tyrone Leslie Doctor of Medicine (MD)
Phone: (619) 464-3153

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G57014 California

Profile Details

NPI number 1962574715
LBN Legal business name San Diego Neurological Disorders
DBA Doing business as Tyrone L Hardy Md
Authorized official Hardy, Tyrone Leslie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1962574715 NPPES
Other ZZZ56955Z BLUE SHIELD
MEDICAID 00G570140 BLUE SHIELD

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