Stanley, Tyler W.

Stanley, Tyler W. is an individual health care provider with primary practice located at 233 Lyndon St , Hermosa Beach CA 90254-5164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stanley, Tyler W. can be contacted via phone (562) 230-4465.

Contact Information

Primary practice address
233 Lyndon St Hermosa Beach CA 90254-5164
Phone: (562) 230-4465
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17829 California

Profile Details

NPI number 1073551347
LBN Legal business name Stanley, Tyler W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 11th, 2008 - about 16 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 1073551347 NPPES
California MEDICAID PA17829

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