Tye, Jonathan
Tye, Jonathan is an sole proprietor health care provider with primary practice located at 1250 S Sunset Ave Ste 202, West Covina CA 91790-3961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tye, Jonathan can be contacted via phone (626) 960-6588.Contact Information
Primary practice address
1250 S Sunset Ave Ste 202
West Covina CA 91790-3961
Phone: (626) 960-6588
Fax: (626) 338-0688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A44747 | California |
Profile Details
| NPI number | 1417057068 |
|---|---|
| LBN Legal business name | Tye, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Sep 20th, 2016 - about 8 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 | 1417057068 | NPPES |
| California | MEDICAID | 00A44747 |
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