Dr. John J. Tyner
Cardiothoracic Vascular Surgeon
9898 Genesee Ave
La Jolla
, California 92037-1205
Dr. John J. Tyner
Cardiothoracic Vascular Surgeon
9898 Genesee Ave
La Jolla
, California 92037-1205
(858) 824-5363
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John J. Tyner
- 10790 Rancho Bernardo Rd
- San Diego, CA
- Zip : 92127-5705
- Phone : (858) 824-5363
Second Address
- Dr. John J. Tyner
- 9898 Genesee Ave
- La Jolla, CA
- Zip : 92037-1205
- Phone : (858) 824-5363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | G70821 | CA |
National Provider Identifier
| NPI | 1144270620 |
|---|---|
| Provider Name | Dr. John J. Tyner |
| First Address | San Diego, CA 92127-5705 |
| Second Address | La Jolla, CA 92037-1205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 16/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G708210 | (05) | CA |
| B27154 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.