Provider Demographics
NPI:1124041520
Name:JO TAYLOR, M.D., INC
Entity type:Organization
Organization Name:JO TAYLOR, M.D., INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-683-6163
Mailing Address - Street 1:1724 DELAWARE AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-4007
Mailing Address - Country:US
Mailing Address - Phone:916-683-6163
Mailing Address - Fax:916-200-3834
Practice Address - Street 1:SUTTER MEDICAL CENTER, SACRAMENTO
Practice Address - Street 2:2825 CAPITOL AVENUE
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6039
Practice Address - Country:US
Practice Address - Phone:916-887-1130
Practice Address - Fax:916-887-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty