Gary Tyler Buckholz
Family Doctor Family Doctor - Hospice and Palliative Medicine
4311 Third Ave
San Diego
, California 92103-1407
Gary Tyler Buckholz
Family Doctor Family Doctor - Hospice and Palliative Medicine
4311 Third Ave
San Diego
, California 92103-1407
(858) 249-6749
Write a Review Share Save Call
About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Gary Tyler Buckholz
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone : (858) 249-6749
Second Address
- Gary Tyler Buckholz
- 4311 Third Ave
- San Diego, CA
- Zip : 92103-1407
- Fax : (619) 278-6163
- Phone : (619) 688-1600
Reviews
FAQs
Where did Gary Tyler Buckholz attend graduate school?
Where did Gary Tyler Buckholz do his residency?
Where did Gary Tyler Buckholz do his fellowship?
Is Gary Tyler Buckholz board certified?
What type of doctor is Gary Tyler Buckholz
In what state does Gary Tyler Buckholz practice in?
Where is Gary Tyler Buckholz ’s practice located?
What is Gary Tyler Buckholz ’s gender?
Is Gary Tyler Buckholz a sole practitioner?
Is Gary Tyler Buckholz accepting new patients?
What languages does Gary Tyler Buckholz speak?
Does Gary Tyler Buckholz accept insurance?
Does Gary Tyler Buckholz offers telemedicine?
What is Gary Tyler Buckholz ’s professional license number?
What is Gary Tyler Buckholz ’s NPI number?
Does Gary Tyler Buckholz have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | A82836 | CA |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A82836 | CA |
National Provider Identifier
| NPI | 1174601702 |
|---|---|
| Provider Name | Gary Tyler Buckholz |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92103-1407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 16/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I51642 | (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.