Individual
DR. J BRADLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25200 LA PAZ RD, SUITE 200, LAGUNA HILLS, CA 92653-5110
(949) 855-1101
(949) 855-8710
Mailing address
25200 LA PAZ RD, SUITE 200, LAGUNA HILLS, CA 92653-5110
(949) 215-9516
(949) 215-9517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G33215
CA
Other
Enumeration date
04/19/2006
Last updated
05/23/2012
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