| James D Taylor Md Inc | |
|
155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 | |
| (415) 455-0914 | |
| (415) 454-4315 |
| Full Name | James D Taylor Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Andersen Dr Ste 1108, San Rafael, California |
| Authorized Official Name and Position | James Taylor (OWNER) |
| Authorized Official Contact | 4154550914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James D Taylor Md Inc 155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 Ph: (415) 455-0914 | James D Taylor Md Inc 155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 Ph: (415) 455-0914 |
| NPI Number | 1326386897 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 5193970705 |
|---|---|
| Medicare Enrollment ID | O20130306000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326386897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G62102 (California) | Primary |
| Provider Name | James D Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801825328 PECOS PAC ID: 1052225125 Enrollment ID: I20031113000763 |
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