Healthcare Provider Details

I. General information

NPI: 1265408314
Provider Name (Legal Business Name): C. SCOTT NAYLOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD SUITE 540
TORRANCE CA
90503-4504
US

IV. Provider business mailing address

4201 TORRANCE BLVD SUITE 540
TORRANCE CA
90503-4504
US

V. Phone/Fax

Practice location:
  • Phone: 310-944-9094
  • Fax: 310-944-9095
Mailing address:
  • Phone: 310-944-9094
  • Fax: 310-944-9095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberA56045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: