Tye Depena, M.D. Valid NPI
Individual provider · Family Medicine Physician · Watsonville, CA
- NPI
- 1467459735
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- A60990 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-07-01
- Last updated
- 2010-02-08
Practice location
1505 Main St
Watsonville, CA 95076-3761
(831) 722-1444