Dr. Cullen Taylor, M.D.
Otolaryngology, Facial Plastic Surgery in Oakland, CA. Individual provider (NPI-1).
NPI number1669908463
StatusActive
Last updated in NPPESSep 27, 2023
Details
- NPI
- 1669908463
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cullen Taylor
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Sep 27, 2023
- Last updated
- Sep 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | A191090 | CA | Yes |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | T6054 | TX | |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 59340 | AZ |
Practice location
3600 BroadwayOakland, CA 94611-5730
Phone 510-752-1000
Mailing address
13400 E Shea BlvdScottsdale, AZ 85259-5452
Phone 480-301-8000
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