NPI 1003579657
Tyler Bowman
Practice location
- Address
- 1445 Donlon St STE 15, Ventura, CA 93003-5640
- Phone
- (805) 850-2686
- Mailing address
- 2759 Sailor Ave, Ventura, CA 93001-4159
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003579657
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2021
- Record last updated
- 20 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.