Mistie Mae Taylor
Technician/Technologist
11900 Avalon Blvd Ste 101
Los Angeles
, California 90061-2867
Mistie Mae Taylor
Technician/Technologist
11900 Avalon Blvd Ste 101
Los Angeles
, California 90061-2867
(323) 920-4991
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Mistie Mae Taylor
- 11900 Avalon Blvd Ste 101
- Los Angeles, CA
- Zip : 90061-2867
- Fax : (323) 920-4991
- Phone : (323) 920-4959
Second Address
- Mistie Mae Taylor
- 11900 Avalon Blvd Ste 101
- Los Angeles, CA
- Zip : 90061-2867
- Fax : (323) 920-4991
- Phone : (323) 920-4959
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1134704059 |
|---|---|
| Provider Name | Mistie Mae Taylor |
| First Address | Los Angeles, CA 90061-2867 |
| Second Address | Los Angeles, CA 90061-2867 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.