Provider Demographics
NPI:1104357763
Name:HOBSON, TAYLOR EVERETT (MD)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:EVERETT
Last Name:HOBSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1988
Mailing Address - Country:US
Mailing Address - Phone:818-600-0390
Mailing Address - Fax:
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1988
Practice Address - Country:US
Practice Address - Phone:818-600-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10957108-1205207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery