Provider Demographics
NPI:1427088806
Name:PIERSON, TYLER M (MD-PHD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:M
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MD-PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8700 BEVERLY BLVD.
Mailing Address - Street 2:SUITE 422
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-423-4441
Mailing Address - Fax:310-423-1244
Practice Address - Street 1:8700 BEVERLY BLVD.
Practice Address - Street 2:SUITE 422
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-4441
Practice Address - Fax:310-423-1244
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD427609208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics