Provider Demographics
NPI:1457085979
Name:SIMON, TAYLOR LEE (PA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LEE
Last Name:SIMON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7117 ALVERN ST APT E211
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1833
Mailing Address - Country:US
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Mailing Address - Fax:
Practice Address - Street 1:8900 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1967
Practice Address - Country:US
Practice Address - Phone:310-432-8900
Practice Address - Fax:310-432-8968
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2023-12-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant