DR. TYLER KEITH CLARK (NPI# 1730540295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730540295 |
| Entity Type | Individual |
| Full Name | DR. TYLER KEITH CLARK |
| Credential | D.C. |
| Practice Address |
819 N Harbor Dr Ste 100 Redondo Beach CA 90277-2086 |
| Mailing Address |
819 N Harbor Dr Ste 100 Redondo Beach CA 90277 |
| Practice Telephone | 7122080062 |
| Mailing Telephone | 7122080062 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33482 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1629685698 | Tyler Todd Clark | Pharmacist | 1130 W Frontage Rd, Owatonna, MN 55060-5662 | 2020-09-24 |
| 1568087039 | Tyler S Clark | Physical Therapist | 11015 Warwick Blvd, Newport News, VA 23601-3225 | 2020-06-10 |
| 1952866576 | Tyler Clark | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2019-02-07 |
| 1346712767 | Tyler A Clark | Occupational Therapy Assistant | 552 Golf Links Rd, Hot Springs, AR 71901-7917 | 2018-12-24 |
| 1649772120 | Tyler Eugene Clark | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2018-03-01 |
| 1831623826 | Tyler Scott Clark | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, Mc 7798, San Antonio, TX 78229-3901 | 2017-04-17 |
| 1124414305 | Tyler Clark | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2015-04-14 |
| 1467843607 | Tyler E Clark | Student in an Organized Health Care Education/Training Program | 2151 College Ave, Bakersfield, CA 93305-4113 | 2015-02-10 |
| 1649689142 | Tyler Clark | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2014-08-08 |
| Street Address |
819 N HARBOR DR STE 100 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902334 | Nathan Luczynski | Chiropractor | 1603 Aviation Blvd Ste 12, Redondo Beach, CA 90278-2856 | 2020-05-05 |
| 1134610710 | Kristin Palase | Chiropractor | 527 Calle Mayor, Redondo Beach, CA 90277-6420 | 2018-05-19 |
| 1558736645 | Stephen Scully | Chiropractor | 333 Palos Verdes Blvd Apt 31, Redondo Beach, CA 90277-6322 | 2015-12-01 |
| 1952773624 | Dibagohar Chiropractic, A Professional Corporation | Chiropractor | 403 North Pacific Coast Highway, 201, Redondo Beach, CA 90277-2839 | 2015-10-21 |
| 1396133070 | Liesel G Orend | Chiropractor | 2009 Artesia Blvd, Suite B, Redondo Beach, CA 90278-3074 | 2015-01-02 |
| 1790184562 | Amanda Stanuszek | Chiropractor | 1300 S Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-5003 | 2014-08-18 |
| 1619380730 | Sabrina Saldana Quinene | Chiropractor | 1926 S Pacific Coast Hwy Ste 207, Redondo Beach, CA 90277-6145 | 2014-06-05 |
| 1427394014 | John Baptist Conca | Chiropractor | 1807 So. Catalina Ave, Redondo Beach, CA 90277 | 2012-12-31 |
| 1861764490 | Homan Dibagohar Dc A Professional Chiropractic S Corporation | Chiropractor | 403 N Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-2882 | 2012-01-27 |
| 1881971844 | Aprilyn A Stitt | Chiropractor | 1426 Aviation Blvd Ste 202, Redondo Beach, CA 90278-4062 | 2011-11-04 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on DR. TYLER KEITH CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.