Taylor, Mistie Mae

Taylor, Mistie Mae is an sole proprietor health care provider with primary practice located at 11900 Avalon Blvd Ste 101 , Los Angeles CA 90061-2867. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Taylor, Mistie Mae can be contacted via phone (323) 920-4959.

Contact Information

Primary practice address
11900 Avalon Blvd Ste 101 Los Angeles CA 90061-2867
Phone: (323) 920-4959
Fax: (323) 920-4991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1134704059
LBN Legal business name Taylor, Mistie Mae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2021
Last updated Mar 11th, 2021 - about 3 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.

Request for update

Popular Providers