Individual
TAYLOR WURDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-2822
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A179993
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
06/26/2024
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