NPI 1003634197
Tyler Bolton
Practice location
- Address
- 1801 Vicente St, San Francisco, CA 94116-2923
- Phone
- (949) 306-0869
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Community Health Worker
Registry record
- NPI
- 1003634197
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Sep 2024
- Record last updated
- 20 May 2025
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.