Individual provider · Type 1 NPI

Tyler Richard Leach, DO

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1346039716 Active

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Fax (951) 486-4106

Mailing address

29522 Whitewood St
Menifee, CA 92584-5226

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346039716

Tyler Richard Leach, DO's National Provider Identifier is 1346039716, issued on May 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 19, 2025.