Search › California › 207X00000X
Tyler Williamson, M.D
NPI 1225561939 · on the registry since 2017 · sole proprietor
Practice
- Address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546 - Phone
- (760) 924-4084
- Organisation at this address
- Pact
Kimdoc Llc
Pact Out Patient
Araya Medicine Inc
Ayodele Okunola Md CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Additional practice sites
- 16800 37th Pl N, Plymouth, MN
- 152 Pioneer Ln Ste A, Bishop, CA
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
207XX0005X - Licence states on file
- MN, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California