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NPI Code Detail

MEDICARE: TAYLOR PARKS AMFT

MEDICARE: TAYLOR PARKS AMFT
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
1106H00000XMarriage & Family Therapist160423CA

General Provider Information

NPI Number : 1982546198
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR PARKS AMFT
Provider Business Mailing Address
First Line : 17111 BEACH BLVD STE 205
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5947
Country : US
Telephone Number : 714-654-1570
Fax Number :
Provider Business Practice Location Address
First Line : 17111 BEACH BLVD STE 205
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5947
Country : US
Telephone Number : 714-654-1570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ TAYLOR PARKS AMFT” Practice Location

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