| Trinh Taylor Corp | |
|
16055 Ventura Blvd Ste 1112 Encino CA 91436-2612 | |
| (818) 723-5435 | |
| (818) 858-1870 |
| Full Name | Trinh Taylor Corp |
|---|---|
| Speciality | Psychologist |
| Location | 16055 Ventura Blvd Ste 1112, Encino, California |
| Authorized Official Name and Position | Thao T Taylor (CEO) |
| Authorized Official Contact | 8187235435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinh Taylor Corp 24342 Vista Hills Dr Valencia CA 91355-3130 Ph: (818) 723-5435 | Trinh Taylor Corp 16055 Ventura Blvd Ste 1112 Encino CA 91436-2612 Ph: (818) 723-5435 |
| NPI Number | 1982197174 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 5395179493 |
|---|---|
| Medicare Enrollment ID | O20191226000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982197174 | NPI | - | NPPES |
| 1768409791 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY24474 (California) | Primary |
| Provider Name | Thao T Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184817041 PECOS PAC ID: 1951562305 Enrollment ID: I20120412000258 |
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