Taylor, Clarence L.

Taylor, Clarence L. is an individual health care provider with primary practice located at 101 Rowland Way Ste 220 , Novato CA 94945-5056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Taylor, Clarence L. can be contacted via phone (415) 878-7200.

Contact Information

Primary practice address
101 Rowland Way Ste 220 Novato CA 94945-5056
Phone: (415) 878-7200
Fax: (415) 369-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 803448 California

Profile Details

NPI number 1265456586
LBN Legal business name Taylor, Clarence L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265456586 NPPES
California Other C55454 STATE MEDICAL LICENSE
California MEDICAID 0611387 STATE MEDICAL LICENSE

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