KARL VON TIEHL, MD, INC. (NPI# 1467886507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467886507 |
| Entity Type | Organization |
| Organization Name | KARL VON TIEHL, MD, INC. |
| Other Organization Name | BOWTIE ALLERGY SPECIALISTS |
| Practice Address |
375 Huntington Dr Suite C San Marino CA 91108-2357 |
| Practice Telephone | 6264606038 |
| Practice Fax Number | 8778866123 |
| Mailing Telephone | 6264606038 |
| Mailing Fax Number | 8778866123 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | DR. KARL FRIEDRICH VONTIEHL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8586994949 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A95085 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bowtie Allergy Specialists | Doing Business As Name - Organization |
| Street Address |
375 HUNTINGTON DR SUITE C |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612327 | Louis Kenneth Countryman | Specialist | 375 Huntington Dr, # D, San Marino, CA 91108-2357 | 2005-10-12 |
| 1568846566 | Diamond Vision Institute | Ophthalmology | 375 Huntington Dr, Suite E, San Marino, CA 91108-2357 | 2015-07-20 |
| 1659704286 | Emily Hortenstine Mcdowell | Physician Assistant | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2013-08-19 |
| 1831322148 | Mu-chien Chiang | Internal Medicine | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2009-09-02 |
| 1013165869 | Karl Friedrich Vontiehl | Allergy & Immunology | 375 Huntington Dr, Suite C, San Marino, CA 91108-2357 | 2008-09-05 |
| 1124274998 | Jeffrey Huang | Ophthalmology | 375 Huntington Dr, Suite D, San Marino, CA 91108-2357 | 2008-08-13 |
| 1588832448 | Mitchell C Latter M D Inc A Prof Corp | Ophthalmology | 375 Huntington Dr, Suite F, San Marino, CA 91108-2357 | 2008-02-13 |
| 1417003831 | Huntington Medical Foundation | Internal Medicine | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2007-01-26 |
| 1649371832 | Asif Mahmood | Internal Medicine | 375 Huntington Dr, E, San Marino, CA 91108-2357 | 2006-09-26 |
| 1063433019 | Buy Well Inc | Pharmacy | 375 Huntington Dr, San Marino, CA 91108-2357 | 2006-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| City | SAN MARINO |
| Zip Code | 91108 |
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| 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.