Individual
DR. CLARENCE L. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ROWLAND WAY STE 220, NOVATO, CA 94945-5056
(415) 878-7200
(415) 369-1387
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 878-7200
(415) 369-1387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
803448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611387
—
OH
01
—
C55454
STATE MEDICAL LICENSE
CA
Enumeration date
07/27/2006
Last updated
12/04/2020
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