KENNETH TYE M.D. INC. NPI 1568631901

NPI Information

NPI: 1568631901
Provider Name: KENNETH TYE, M.D., INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1250 S SUNSET AVE
#202
WEST COVINA, CA
ZIP 91790
Phone: (626) 960-6588
Get Directions

KENNETH TYE, M.D., INC. 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. KENNETH TYE, M.D., INC. NPI is 1568631901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 S SUNSET AVE
#202
WEST COVINA, CA
ZIP 91790-961
Phone: (626) 960-6588
Fax: (626) 338-0688

The provider's authorized official is Kenneth Tye .
The authorized official title is President and has the following contact phone number (626) 960-6588.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 2/28/2008.

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	00A320350	MEDICAID	CALIFORNIA
2	W487	MEDICARE UPIN

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: 11/14/2023

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