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Mason Taylor
NPI 1508570540 · on the registry since 2023
Practice
- Address
- 480 Alta Rd
San Diego, CA 92179 - Phone
- (619) 661-5241
- Organisation at this address
- Corrections And Rehabilitation-Headquarters
State Of California Prison Industry AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 144
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 1041C0700X
1041C0700X
106H00000X
172V00000X
171M00000X - Licence states on file
- CA, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California