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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTIE MAE TAYLOR

Active Sole Proprietor

MISTIE MAE TAYLOR is a Optician healthcare provider located in LOS ANGELES, California. NPI 1134704059 is currently active in the NPPES registry. Verify at CMS.

Optician · LOS ANGELES, CA

Registration Details

NPI Number
1134704059
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2021 (5.4379306633456 yrs)
Last Updated
Mar 11, 2021
Sole Proprietor
Yes

Practice Information

Address
11900 AVALON BLVD STE 101
LOS ANGELES, CA, 900612867
Browse CA providers · Browse ZIP 90061
Phone
3239204959
Fax
3239204991
Primary Specialty
Optician
156F00000X

Other Optician Providers in LOS ANGELES, CA

Name Credential NPI
CLAUDIA GUTIERREZ 1780167759
GEORGE DAGLIYAN 1427682087
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.