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General NPI Number Information
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NPI Number | 1336176312
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Entity Type | Individual
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Provider Name | CECILLE G TAYLOR MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1561 CREEKSIDE DR #160
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City | FOLSOM
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State | CA
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Zip | 95630
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Country | US
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Telephone | 916-983-4550
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Fax | 916-983-8569
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Provider Business Mailing Address
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Address Line | 1615 CREEKSIDE DR #110
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City | FOLSOM
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State | CA
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Zip | 95630-3491
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Country | US
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Telephone | 916-983-4550
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Fax | 916-983-8569
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G067853
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License Number State | CA
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