Organization
DR. TAYLOR BLADH O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR BLADH (OWNER)
(714) 848-0028
Entity
Organization
Contact information
Practice address
16481 MAGNOLIA ST, WESTMINSTER, CA 92683-7827
(714) 848-0028
(714) 842-0160
Mailing address
16481 MAGNOLIA ST, WESTMINSTER, CA 92683-7827
(714) 848-0028
(714) 842-0160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8921TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0081970
—
CA
05
—
SD0088870
—
CA
Enumeration date
11/07/2014
Last updated
11/07/2014
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