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Search › California › 253Z00000X

Theodore Wyatt

NPI 1831028471 · on the registry since 2026 · sole proprietor

Practice

Address
11175 Azusa Ct Ste 110
Rancho Cucamonga, CA 91730
Phone
(503) 330-3708
Organisation at this address
Alyaseen, Llc
The Skin Hour
Rooted Minds, Inc
2bme Home Care Llc
Limax Enterprise Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Male
Record last updated
2026-06-09

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