Individual provider · Type 1 NPI

Taylor Jade Lacour-Granados

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1689581365 Active

Practice location

456 E Orange Grove Blvd Ste 140
Pasadena, CA 91104-5235

Call (626) 765-6010 Map

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689581365

Taylor Jade Lacour-Granados's National Provider Identifier is 1689581365, issued on Aug 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Aug 26, 2026.