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Taylor Boucher
NPI 1205236825 · on the registry since 2014 · sole proprietor
Practice
- Address
- 24845 Avenida Asoleada
Calabasas, CA 91302 - Phone
- (818) 642-5429
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- SC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California