Individual
TIMOTHY JUSTIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2170 S EL CAMINO REAL STE 117-122, OCEANSIDE, CA 92054-6203
(760) 730-8060
(760) 730-8061
Mailing address
2170 S EL CAMINO REAL STE 117-122, OCEANSIDE, CA 92054-6203
(760) 730-8060
(760) 730-8061
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A17483
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
08/19/2019
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