05D0863865 CLIA NUMBER - STEPHANIE S TAYLOR MD

Laboratory Demographics

CLIA Number: 05D0863865

Facility Name: STEPHANIE S TAYLOR MD

Facility Address:
26365 CARMEL RANCHO BLVD STE F
CARMEL, CA
ZIP 93923
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Facility Phone Number: 831 622-1995

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154306074

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D0863865
LAB Type	Physician Office
Facility Name	STEPHANIE S TAYLOR MD
Street	26365 CARMEL RANCHO BLVD STE F
City	CARMEL
State	CA
ZIP	93923
Phone	831 622-1995
CertificateType	4
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024