Search › California › 363LF0000X
Tyler Soga
NPI 1447743943 · on the registry since 2018
Practice
- Address
- 215 S Hickory St Ste 114
Escondido, CA 92025 - Phone
- (760) 454-9570
- Organisation at this address
- Tapp Dental Group, Apc
Paul V Polishuk Md Inc
Keyvan Esmaeili M D Inc
Functionmd Medical Center
Escondido Internal Medicine IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 65
Additional practice sites
- 644 E Harding Way Ste B, Stockton, CA
- 1552 Coffee Rd Ste 200, Modesto, CA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-08
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