Tyler D. Krohn, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A106309 Issued in CA

Legal business name

TYLER D. KROHN, M.D., INC.

Practice address

881 Alma Real Dr
Suite 316
Pacific Palisades, CA 90272-3731

Phone

(310) 929-5538

Fax

(310) 929-5537

NPI assigned

Sep 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler Krohn

Title

Owner/ President

Phone

(310) 929-5538

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1316220080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 316",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 316",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-929-5538",
            "fax_number": "310-929-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER D. KROHN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "310-929-5538"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Eugenia Tobon, MD
• Marie Chantal Sonia Trinque Courchesne, MD
• Anna Tron, LAC
• Traig Ty Trumbo, D.C.
• Heather Turgeon, LMFT
• UC Regents UCLA Dept of Medicine Prof Group
• VA Greater Los Angeles Health Care System
• Monica Valencia Hernandez, DDS
• Van Medical Corporation
• Roozan Varteressian, PH.D., LCSW

• Pediatrics Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.