MEDICARE: DR. MURRAY D. TAYLOR M.D.

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	207Q00000X	Family Medicine Physician	A35629	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1407872419	OTHER	CA	MEDICARE NPI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A35629	OTHER	CA	BLUE SHIELD OF CA

General Provider Information

NPI Number	:	1407872419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURRAY D. TAYLOR M.D.

Provider Business Mailing Address
First Line	:	39300 BOB HOPE DR
Second Line	:	BANNAN BLDG., STE. 1105
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3203
Country	:	US
Telephone Number	:	760-773-3379
Fax Number	:	760-568-3679

Provider Business Practice Location Address
First Line	:	39300 BOB HOPE DR
Second Line	:	BANNAN BLDG., STE. 1105
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3203
Country	:	US
Telephone Number	:	760-773-3379
Fax Number	:	760-568-3679

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	06/18/2015

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Directions to “ DR. MURRAY D. TAYLOR M.D.” Practice Location

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