Tyler Joseph Branco | Los Alamitos, CA • PECOS Search

Tyler Joseph Branco

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828

PECOS Enrollment

Based on the most recent information from CMS, provider Tyler Joseph Branco does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1386295368
Provider Type
Individual
Full Name
Branco, Tyler Joseph
Title
Mr.
Credential
M.S., LMFT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/22/2019
Last Updated
4/2/2024

Contact Information

Practice Location

5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828

Unlisted Fax

Mailing Location

5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 126466 California