Provider Demographics
NPI:1992905723
Name:TAYLOR, BRIAN STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:STEVEN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3585 MAPLE ST
Mailing Address - Street 2:SUITE # 205
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3504
Mailing Address - Country:US
Mailing Address - Phone:805-654-0926
Mailing Address - Fax:805-654-0949
Practice Address - Street 1:3585 MAPLE ST
Practice Address - Street 2:SUITE # 205
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3504
Practice Address - Country:US
Practice Address - Phone:805-654-0926
Practice Address - Fax:805-654-0949
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2018-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG755402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG75540OtherMEDICAL LICENSE