Individual
SHELLEY TAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 401-8115
(562) 803-5569
Mailing address
7601 E. IMPERIAL HWY 900 ANNEX A, DOWNEY, CA 90242-3456
(562) 401-8115
(562) 803-5569
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO 1573
CA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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