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Dr. Tyler Basen, MD
Allergy & Immunology (Internal Medicine) Physician in Mission Viejo, California
NPI 1184069692

Tyler Basen is an Allergy & Immunology (Internal Medicine) Physician based in Mission Viejo, CA and is specialized in Allergy & Immunology. Tyler Basen practices in Mission Viejo, CA and has the professional credentials of MD. The NPI Number for Tyler Basen is 1184069692 and holds a License No. A141359 (California).

The current practice location address for Tyler Basen is 26691 Plaza Ste 170, Mission Viejo, CA and can be reached out via phone at 949-755-6414 and via fax at 339-207-0457. You can also correspond with Tyler Basen through the mailing address at 26691 PLAZA STE 170, MISSION VIEJO, CA - 92691-6396 (mailing address contact number: 949-755-6414).

Location: 26691 Plaza Ste 170, Mission Viejo, CA, 92691-6396
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Provider Profile Details
NPI Number
1184069692
Provider Name
Tyler Basen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26691 Plaza Ste 170, Mission Viejo, CA, 92691-6396
Phone Number
949-755-6414
Fax Number
339-207-0457
Provider Enumeration Date
05/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB299568 05 CA
institution
Provider Business Practice Location Address Details
Address
26691 Plaza Ste 170
City
State
Zip
92691-6396
Phone Number
949-755-6414
Fax Number
339-207-0457
person
Provider Business Mailing Address Details
Address
26691 Plaza Ste 170
City
State
Zip
92691-6396
Phone Number
949-755-6414
Fax Number
339-207-0457
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
License No.
A141359 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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