Dr. Taylor Bladh, O.D., Inc

LBN: Dr. Taylor Bladh, O.D., Inc
Dr. Taylor Bladh, O.D., Inc is an health care organization with primary practice located at 718 N. Diamond Bar Blvd , Diamond Bar CA 91765-4122. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Taylor Bladh, O.D., Inc can be contacted via phone (909) 861-3737, or through Bladh, Taylor Woodbury via phone (909) 861-3737.

Contact Information

Primary practice address
718 N. Diamond Bar Blvd Diamond Bar CA 91765-4122
Phone: (909) 861-3737
Fax: (909) 396-7517
Website:
Map and Directions
Authorized official contact:
Name: Bladh, Taylor Woodbury Doctor of Optometry (OD)
Phone: (909) 861-3737

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X California

Profile Details

NPI number 1700951217
LBN Legal business name Dr. Taylor Bladh, O.D., Inc
DBA Doing business as
Authorized official Bladh, Taylor Woodbury Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700951217 NPPES
California MEDICAID GSD000650

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