Provider Demographics
NPI:1427131960
Name:NAYLOR, DAVID EARL (MD PHD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:EARL
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CARSON ST
Mailing Address - Street 2:#492 HARBOR UCLA DEPARTMENT OF NEUROLOGY
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90509
Mailing Address - Country:US
Mailing Address - Phone:310-222-3897
Mailing Address - Fax:310-533-8905
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:#492 HARBOR UCLA DEPARTMENT OF NEUROLOGY
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90509
Practice Address - Country:US
Practice Address - Phone:310-222-3897
Practice Address - Fax:310-533-8905
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-10-11
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-10-11
Provider Licenses
StateLicense IDTaxonomies
CAA0552332084N0400X, 2084N0600X
CA478512084N0400X
CA12872084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology