MALLORY TAYLOR (NPI# 1942731815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942731815 |
| Entity Type | Individual |
| Full Name | MALLORY TAYLOR |
| Practice Address |
1721 E 120th St Trlr 6 Los Angeles CA 90059-3051 |
| Practice Telephone | 4243382900 |
| Mailing Telephone | 4243382900 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A160930 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647579 | Mallory Taylor | Technician | 16 Taylor Dr, Victor, WV 25938-7810 | 2020-10-20 |
| 1003312828 | Mallory Michelle Taylor | Physician Assistant | 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 | 2018-04-02 |
| 1093234130 | Mallory L Taylor | Massage Therapist | 330 Se 3rd St, Troutdale, OR 97060-2080 | 2017-09-10 |
| 1932547197 | Mallory Rose Taylor | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-06-10 |
| Street Address |
1721 E 120TH ST TRLR 6 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403269 | Kenneth Seman | Social Worker | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2006-10-19 |
| 1609401637 | Steven Lee Lenoir | Case Manager/Care Coordinator | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2020-03-10 |
| 1134660228 | Los Angeles County Department of Mental Health | Clinic/Center | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2017-03-09 |
| 1578002374 | Los Angeles County Department of Mental Health | Clinic/Center | 1721 E 120th St Trlr 6, Los Angeles, CA 90059 | 2017-02-14 |
| 1912300989 | Andrea Ramirez | Student in an Organized Health Care Education/Training Program | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2014-10-03 |
| 1164703690 | Letisia Alvarado | Counselor | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2011-08-29 |
| 1548589435 | Stephanie Valencia | Case Manager/Care Coordinator | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2010-05-18 |
| 1467680892 | Cerelia R. Bragg | Social Worker | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2009-06-24 |
| 1134395643 | Amber Dickinson | Counselor | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2008-05-05 |
| 1710162904 | Marta Morales | Counselor | 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445283 | West Tower Pediatrics | Pediatrics | 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 | 2019-03-04 |
| 1609368471 | Children's Health Alliance of Medical Providers, Inc. | Pediatrics | 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 | 2018-06-06 |
| 1245771674 | Anna Cushing | Pediatrics | 4650 W Sunset Blvd Ms# 113, Los Angeles, CA 90027-6062 | 2017-03-18 |
| 1528501822 | Harmanpreet Chawla | Pediatrics | 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 | 2016-11-18 |
| 1104276229 | Stephanie Mai Lan Be | Pediatrics | 8731 W Pico Blvd, Los Angeles, CA 90035-2205 | 2016-06-20 |
| 1063869196 | John Banks Harlow | Pediatrics | 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 | 2016-05-18 |
| 1679935811 | Patricia F. Villegas | Pediatrics | 2010 Zonal Ave Fl Opd5, Los Angeles, CA 90033 | 2016-03-27 |
| 1457710808 | Barry Charles Smith | Pediatrics | 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 | 2016-02-14 |
| 1275911364 | Eric Tsay | Pediatrics | 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 | 2015-05-11 |
| 1609253566 | Sinai Pediatrics | Pediatrics | 151 S Almont Dr, Los Angeles, CA 90048-2910 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MALLORY TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.