Individual
ERIC TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26730 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6364
(949) 364-2154
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
PA64269
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/19/2023
Last updated
05/01/2024
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