Doherty, Taylor A.

Doherty, Taylor A. is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Doherty, Taylor A. can be contacted via phone (858) 657-8322.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A86650 California

Profile Details

NPI number 1225015845
LBN Legal business name Doherty, Taylor A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225015845 NPPES
California MEDICAID 00A866500

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