NPI Information
- NPI:
1437217767
- Provider Name:
JAMIE LATIOLAIS TAYLOR, M.D.
- Classification:
Anesthesiology - 207L00000X
- Entity Type:
Individual
- PECOS Registration: Yes
- Address:
2040 E MARIPOSA AVE
EL SEGUNDO, CA
ZIP 90245
- Phone:
(310) 400-0645
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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 |
1 | 207L00000X | Anesthesiology | | A86675 | CALIFORNIA | Yes |
2 | 207LC0200X | Anesthesiology | Critical Care Medicine | A86675 | CALIFORNIA | No |