Individual provider · Type 1 NPI

Taylor Tidwell, MD

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1013603588 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Call (714) 456-7890 Map

Mailing address

3800 W Chapman Ave Ste 7300
Orange, CA 92868-1638

Other practice locations

  • 5901 E 7th St, Long Beach, CA 90822-5201 · (562) 826-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013603588

Taylor Tidwell, MD's National Provider Identifier is 1013603588, issued on Apr 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on Apr 24, 2023.