MEDICARE: BARONE.TAYLOR ANESTHESIA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	2971	CA

General Provider Information

NPI Number	:	1184974495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARONE.TAYLOR ANESTHESIA INC

Provider Business Mailing Address
First Line	:	716 N ALFRED ST
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-5302
Country	:	US
Telephone Number	:	310-880-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 N ALFRED ST
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-5302
Country	:	US
Telephone Number	:	310-880-2695
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER B TAYLOR
Credential	:	CRNA
Telephone Number	:	310-880-2695

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	09/13/2012

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