Individual
ANTHONY THEODORE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
211 S MACLAY AVE, SAN FERNANDO, CA 91340-3603
(818) 700-1250
(818) 700-1045
Mailing address
1642 E CYRENE DR, CARSON, CA 90746-2928
(818) 700-1250
(818) 700-1045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10963
CA
Other
Enumeration date
06/12/2007
Last updated
03/07/2023
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