Waldron, Tyler Grant
Waldron, Tyler Grant is an individual health care provider with primary practice located at 26401 Crown Valley Pkwy Ste 101, Mission Viejo CA 92691-6302. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Waldron, Tyler Grant can be contacted via phone (949) 348-4000.Contact Information
Primary practice address
26401 Crown Valley Pkwy Ste 101
Mission Viejo CA 92691-6302
Phone: (949) 348-4000
Fax: (949) 348-7466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 53447 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 53447 | California |
Profile Details
NPI number | 1407205875 |
---|---|
LBN Legal business name | Waldron, Tyler Grant |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2016 |
Last updated | Jun 7th, 2016 - about 9 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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