Dr Tyler Keith Clark, DC | |
819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 | |
(712) 208-0062 | |
Not Available |
Full Name | Dr Tyler Keith Clark |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 819 N Harbor Dr Ste 100, Redondo Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730540295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 33482 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eshghi Chiropractic Inc | 8426317934 | 2 |
Provider Name | Eshghi Chiropractic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952813602 PECOS PAC ID: 8426317934 Enrollment ID: O20180108003207 |
Mailing Address | Practice Location Address |
---|---|
Dr Tyler Keith Clark, DC 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277 Ph: (712) 208-0062 | Dr Tyler Keith Clark, DC 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 Ph: (712) 208-0062 |
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