Individual
DR. CHARLES L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17868 HIGHWAY 18, SUITE # 329, APPLE VALLEY, CA 92307
(760) 946-5177
Mailing address
17868 HIGHWAY 18, SUITE # 329, APPLE VALLEY, CA 92307
(760) 946-5177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C38699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C386992
—
CA
Enumeration date
07/05/2006
Last updated
10/31/2008
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