NPI 1134704059

Mistie Mae Taylor

Practitioner Technician/Technologist Los Angeles, CA

Practice location

Address: 11900 Avalon Blvd STE 101, Los Angeles, CA 90061-2867
Phone: (323) 920-4959
Fax: (323) 920-4991

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in California →

Registry record

NPI: 1134704059
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2021
Record last updated: 11 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.