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NPI Code Detail

MEDICARE: ISAAC TAYLOR

MEDICARE: ISAAC TAYLOR
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
1164X00000XLicensed Vocational Nurse740272CA

General Provider Information

NPI Number : 1982547923
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC TAYLOR
Provider Business Mailing Address
First Line : 2908 AMHERST DR
Second Line :
City : STOCKTON
State : CA
Zip : 95209-2745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 W FLORA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1636
Country : US
Telephone Number : 844-456-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ISAAC TAYLOR ” Practice Location

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