Individual
MS. VANESSA M.L. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
(909) 287-0677
(909) 631-2919
Mailing address
15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
(909) 287-0677
(909) 631-2919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42580
—
CA
01
—
5065080001
NORDIAN ID
CA
01
—
81-0644182
TAX ID
CA
01
—
834623340
TAX ID
CA
01
—
E4258
STATE LICENSE
CA
Enumeration date
07/11/2006
Last updated
05/15/2020
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