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NPI Code Detail

MEDICARE: TAYLOR NICOLE ASHER RD

MEDICARE:   TAYLOR NICOLE ASHER  RD
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1740981893
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICOLE ASHER RD
Provider Business Mailing Address
First Line : PO BOX 49702
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-0702
Country : US
Telephone Number : 219-488-6226
Fax Number :
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-268-3187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2023
Last Update Date : 04/27/2026

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Directions to “ TAYLOR NICOLE ASHER RD” Practice Location

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