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NPI Code Detail

MEDICARE: JOHN N TAYLOR, MD A PROFESSIONAL CORPORATION

MEDICARE: JOHN N TAYLOR, MD A PROFESSIONAL CORPORATION
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
1207Q00000XFamily Medicine PhysicianA90426CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A90426OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1154478790
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN N TAYLOR, MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 41990 COOK ST BLDG J
Second Line : SUITE 901
City : PALM DESERT
State : CA
Zip : 92211-6100
Country : US
Telephone Number : 760-341-6262
Fax Number : 760-341-6226
Provider Business Practice Location Address
First Line : 41990 COOK ST BLDG J
Second Line : SUITE 901
City : PALM DESERT
State : CA
Zip : 92211-6100
Country : US
Telephone Number : 760-341-6262
Fax Number : 760-341-6226
Authorized Official
Title or Position : OWNER
Name : DR. JOHN N TAYLOR
Credential : MD
Telephone Number : 760-341-6262
Provider Enumeration Date : 01/05/2007
Last Update Date : 12/02/2008

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