Talia Kelly

NPI 1447085485 · on the registry since 2024 · sole proprietor

Practice

Address: 3001 W Vernon Ave
Los Angeles, CA 90008
Phone: (323) 299-9554
Fax: (323) 299-9540
Organisation at this address: Eggleston Youth Centers, Inc.
Eggleston Youth Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 390200000X
171M00000X
225400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-06-24

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