Individual
MISS CAROLYN LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE 505, LOS ANGELES, CA 90004-3025
(310) 975-9546
(310) 807-8345
Mailing address
5371 SANTA CATALINA AVE, GARDEN GROVE, CA 92845-1023
(714) 356-8485
(310) 807-8345
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19699
CA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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