Provider Demographics
NPI:1043275829
Name:TAYLOR MARKETING SERVICES
Entity type:Organization
Organization Name:TAYLOR MARKETING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:J.T.
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-721-7518
Mailing Address - Street 1:6380 TUPELO DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-1778
Mailing Address - Country:US
Mailing Address - Phone:916-721-7518
Mailing Address - Fax:916-721-4529
Practice Address - Street 1:6380 TUPELO DR
Practice Address - Street 2:SUITE 4
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-1778
Practice Address - Country:US
Practice Address - Phone:916-721-7518
Practice Address - Fax:916-721-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100757332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01567FMedicaid
CADME01567FMedicaid