Taylor, Emma Jean Mildred
Taylor, Emma Jean Mildred is an individual health care provider with primary practice located at 10833 Le Conte Ave Chs 52-121, Los Angeles CA 90095-3075. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Taylor, Emma Jean Mildred can be contacted via phone (310) 825-5420.Contact Information
Primary practice address
10833 Le Conte Ave Chs 52-121
Los Angeles CA 90095-3075
Phone: (310) 825-5420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A102254 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A102254 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | A102254 | California |
Profile Details
| NPI number | 1356407076 |
|---|---|
| LBN Legal business name | Taylor, Emma Jean Mildred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Aug 27th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356407076 | NPPES |
| California | MEDICAID | 1356407076 | |
| California | MEDICAID | 0A1022540 |
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