Provider Demographics
NPI:1437961471
Name:TAYZON, MARIA ALELI
Entity type:Individual
Prefix:
First Name:MARIA ALELI
Middle Name:
Last Name:TAYZON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24624 JENA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-3759
Mailing Address - Country:US
Mailing Address - Phone:909-247-4145
Mailing Address - Fax:
Practice Address - Street 1:24624 JENA DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-3759
Practice Address - Country:US
Practice Address - Phone:909-247-4145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95125733163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse