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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.

Location: 26691 Plaza Ste 170, Mission Viejo, CA, 92691-6396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Mission Viejo
State
California
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
Mission Viejo
State
California
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
207RA0201X
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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