institution
Jonathan J Tye, Md A Professional Corp
Cardiovascular Disease Physician in West Covina, California
NPI 1578835021

Jonathan J Tye, Md A Professional Corp is a Cardiovascular Disease Physician based in West Covina, CA and is specialized in Cardiovascular Disease. Jonathan J Tye, Md A Professional Corp practices in West Covina, CA. The NPI Number for Jonathan J Tye, Md A Professional Corp is 1578835021 and holds a License No. A44747 (California).

The current practice location address for Jonathan J Tye, Md A Professional Corp is 1250 S Sunset Ave, West Covina, CA and can be reached out via phone at 626-960-6588 and via fax at 626-338-0688.

Location: 1250 S Sunset Ave, West Covina, CA, 91790-3961
institution
Provider Profile Details
NPI Number
1578835021
Provider Name
Jonathan J Tye, Md A Professional Corp
Credential
Provider Entity Type
Organization
Address
1250 S Sunset Ave, West Covina, CA, 91790-3961
Phone Number
626-960-6588
Fax Number
626-338-0688
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FT604A 01 MEDICARE ORGANIZATION PTAN
110182967 01 RAILROAD MEDICARE
00A447470 05 CA
institution
Provider Business Practice Location Address Details
Address
1250 S Sunset Ave
City
State
Zip
91790-3961
Phone Number
626-960-6588
Fax Number
626-338-0688
person
Provider Business Mailing Address Details
Address
1250 S Sunset Ave
City
State
Zip
91790-3961
Phone Number
626-960-6588
Fax Number
626-338-0688
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
A44747 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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