MR. EDDIE RENARD TAYLOR NPI 1326220419

NPI Information

  • NPI: 1326220419
  • Provider Name: MR. EDDIE RENARD TAYLOR
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 12450 VAN NUYS BLVD
    SUITE 200
    PACOIMA, CA
    ZIP 91331
  • Phone: (818) 896-1161

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NPI Details

MR. Eddie Renard Taylor is a mental health counselor in Pacoima, CA. MR. Eddie Renard Taylor NPI is 1326220419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12450 VAN NUYS BLVD
SUITE 200
PACOIMA, CA
ZIP 91331-391
Phone: (818) 896-1161

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17068OTHERCALIFORNIAOUTPATIENT MENTALHEALTH
27068MEDICARE UPINCALIFORNIA
37068OTHERCALIFORNIAUPIN MEDICARE MEDICAID
47068OTHERCALIFORNIAUPIN
57068MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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