Individual
MR. DONALD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Mailing address
PO BOX 650811, DALLAS, TX 75265-0811
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A35628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A356280
BLUE SHIEL
CA
05
—
00A356280
—
CA
05
—
1831143858
—
CA
01
—
1942504501
BLUE CROSS
CA
Enumeration date
05/22/2006
Last updated
03/14/2012
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