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General NPI Number Information
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NPI Number | 1649467671
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Entity Type | Organization
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Legal Business Name | TAYLOR CHIROPRACTIC AND LASER CENTER, INC.
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 2800 SKYPARK DR
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City | TORRANCE
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State | CA
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Zip | 90505-5316
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Country | US
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Telephone | 310-891-0102
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Fax | 310-891-0575
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Provider Business Mailing Address
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Address Line | 4930 ELMDALE DR
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-2405
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Country | US
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Telephone | 310-891-0102
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Fax | 310-891-0575
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. DEREK M. TAYLOR
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Credential | DC
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Telephone | 310-891-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8556
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC30520
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC22871
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License Number State | CA
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