Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler J Roubidoux MD PC

Organization Anesthesiology Physician · NPI 1619478567

Tyler J Roubidoux MD PC is an Anesthesiology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11645 Wilshire Blvd Ste 987
Los Angeles, CA 90025-6814
Phone: (310) 393-9359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A127481 (CA)

Record details

NPI number1619478567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Roubidoux — Sole Owner · (208) 305-3536
NPI enumeratedFebruary 26, 2018
Last updated in NPPESApril 25, 2018
Mailing addressPo Box 7001, Tarzana, CA 91357-7001

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