# SCOTT M TAYLOR MD PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457596629
- **Authorized official:** DR. SCOTT MORRIS TAYLOR M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (510) 238-9600

## Contact information

- **Practice address:** 400 29TH ST, SUITE \#400, OAKLAND, CA 94609-3522
- **Practice address phone:** (510) 238-9600
- **Practice address fax:** (510) 238-9609
- **Mailing address:** 400 29TH ST, SUITE \#400, OAKLAND, CA 94609-3522
- **Mailing address phone:** (510) 238-9600
- **Mailing address fax:** (510) 238-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A42745 | CA | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A42745 | CA | — |
| 207XX0801X | Orthopaedic Trauma Physician | A42745 | CA | — |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 05/04/2015