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Dr. Taylor Bladh O.D. INC

Optometrist in Westminster, CA. Organization (NPI-2).

NPI number1124424809
StatusActive
Last updated in NPPESNov 7, 2014

Details

NPI
1124424809
Entity type
Organization (NPI-2)
Legal business name
Dr. Taylor Bladh O.D. INC
Organization subpart
No
Enumeration date
Nov 7, 2014
Last updated
Nov 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometristopt8921tpaCAYes

Practice location

16481 Magnolia St
Westminster, CA 92683-7827

Phone 714-848-0028 · Fax 714-842-0160

Mailing address

16481 Magnolia St
Westminster, CA 92683-7827

Phone 714-848-0028 · Fax 714-842-0160

Authorized official

Taylor Bladh
Owner
7148480028

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