MEDICARE: MELANIE MARIE TAYLOR MD

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	207RI0200X	Infectious Disease Physician	A79603	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336169580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE MARIE TAYLOR MD

Provider Business Mailing Address
First Line	:	PO BOX 95460
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-0033
Country	:	US
Telephone Number	:	602-581-6080
Fax Number	:	602-263-1619

Provider Business Practice Location Address
First Line	:	200 MEDICAL PLAZA
Second Line	:	#365,530,420,120
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-3075
Country	:	US
Telephone Number	:	310-825-6301
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/11/2026

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