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

Tyler Dylan Longenbaugh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588409833

Tyler Dylan Longenbaugh is a Student in an Organized Health Care Education/Training Program in Hayward, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

27206 Calaroga Ave Ste 107
Hayward, CA 94545-4300
Phone: (510) 881-5921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1588409833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address27206 Calaroga Ave Ste 107, Hayward, CA 94545-4300

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