Healthcare Provider Details

I. General information

NPI: 1861290520
Provider Name (Legal Business Name): ERIN MELISSA TAYLOR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 OCEANGATE
LONG BEACH CA
90802-4302
US

IV. Provider business mailing address

200 OCEANGATE
LONG BEACH CA
90802-4302
US

V. Phone/Fax

Practice location:
  • Phone: 818-437-4921
  • Fax: 844-861-1929
Mailing address:
  • Phone: 818-437-4921
  • Fax: 844-861-1929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95031885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: