Dr. Tyler Basen
Internist - Allergy & Immunology
26691 Plaza Ste 170
Mission Viejo
, California 92691-6396
Dr. Tyler Basen
Internist - Allergy & Immunology
26691 Plaza Ste 170
Mission Viejo
, California 92691-6396
(339) 207-0457
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Tyler Basen
- 26691 Plaza Ste 170
- Mission Viejo, CA
- Zip : 92691-6396
- Fax : (339) 207-0457
- Phone : (949) 755-6414
Second Address
- Dr. Tyler Basen
- 26691 Plaza Ste 170
- Mission Viejo, CA
- Zip : 92691-6396
- Fax : (339) 207-0457
- Phone : (949) 755-6414
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | A141359 | CA |
National Provider Identifier
| NPI | 1184069692 |
|---|---|
| Provider Name | Dr. Tyler Basen |
| First Address | Mission Viejo, CA 92691-6396 |
| Second Address | Mission Viejo, CA 92691-6396 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2013 |
| Last Update Date | 29/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CB299568 | (05) | 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.