DR. KENNETH TYE M.D. NPI 1265433965

NPI Information

NPI: 1265433965
Provider Name: DR. KENNETH TYE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1250 S SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-6588
Get Directions

DR. Kenneth Tye, M.D. is a cardiovascular disease internal medicine in West Covina, CA. The provider is 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. DR. Kenneth Tye, M.D. NPI is 1265433965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1250 S SUNSET AVE
WEST COVINA, CA
ZIP 91790-962
Phone: (626) 960-6588
Fax: (626) 338-0688

The enumeration date for this NPI number is 8/3/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	A32035	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A26679	MEDICARE UPIN	CALIFORNIA
2	W487	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER NUMBER
3	A32035	OTHER	ARKANSAS	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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