Healthcare Provider Details

I. General information

NPI: 1801474085
Provider Name (Legal Business Name): TAYLOR STANDIFORD ERICKSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 POST ST FL 3
SAN FRANCISCO CA
94115-3470
US

IV. Provider business mailing address

243 CHARLES ST
BOSTON MA
02114-3096
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-4952
  • Fax:
Mailing address:
  • Phone: 617-573-3654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA195263
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number1026546
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: