Individual
CHARLA SAMANTHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 W SUNSET BLVD, 4TH FLOOR, LOS ANGELES, CA 90027-6082
(202) 215-9229
Mailing address
4700 W SUNSET BLVD, 4TH FLOOR, LOS ANGELES, CA 90027-6082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PGY-1 NO LICENSE
CA
Other
Enumeration date
03/02/2011
Last updated
12/03/2021
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