Individual
DR. CARL TASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 GILLY FLOWER ST, LADERA RANCH, CA 92694-0890
(949) 481-3121
Mailing address
8 GILLY FLOWER ST, LADERA RANCH, CA 92694-0890
(949) 481-3121
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
G65826
CA
2084P0800X
Psychiatry Physician
G65826
CA
2084P0800X
Psychiatry Physician
Primary
MD2017-1001
NM
Other
Enumeration date
04/18/2007
Last updated
07/21/2022
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