Taylor, Mark

Taylor, Mark is an individual health care provider with primary practice located at 3941 J St Suite 270, Sacramento CA 95819-3628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Taylor, Mark can be contacted via phone (916) 733-6850.

Contact Information

Primary practice address
3941 J St Suite 270 Sacramento CA 95819-3628
Phone: (916) 733-6850
Fax: (916) 733-6824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G46339 California

Profile Details

NPI number 1679525000
LBN Legal business name Taylor, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 4th, 2022 - about 4 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 1679525000 NPPES
California MEDICAID 00G463390

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