MEDICARE: DR. LYNDON JOHNSTON TAYLOR MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95037664	CA

General Provider Information

NPI Number	:	1225919996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNDON JOHNSTON TAYLOR MSN

Provider Business Mailing Address
First Line	:	1555 LINDA VISTA AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1954
Country	:	US
Telephone Number	:	213-519-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 LINDA VISTA AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1954
Country	:	US
Telephone Number	:	213-519-6026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	12/03/2025

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