Addison Jay Taylor, L.Ac
Acupuncturist in Pasadena, CA. Individual provider (NPI-1).
NPI number1164040432
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040432
- Entity type
- Individual (NPI-1)
- Name
- Addison Jay Taylor
- Credential
- L.Ac
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 18577 | CA | Yes |
Practice location
960 E Green St Ste 310Pasadena, CA 91106-2401
Phone 213-373-4778
Mailing address
1829 Bara RdGlendale, CA 91208-2501
Phone 213-373-4778
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