Taylor Koren, DDS is a
Military Health Care Provider based in San Diego, California. Taylor Koren is licensed to practice in Texas (license number 31006) and his current practice location is
34800 Bob Wilson Dr, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 532-6400.
NPI number for Taylor Koren is 1497139745 and his current mailing address is 34800 Bob Wilson Dr, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497139745.
Healthcare Provider's Profile
| Full Name | Taylor Koren |
|---|
| Gender | Male |
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| Speciality | Military Health Care Provider |
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| Location | 34800 Bob Wilson Dr, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497139745
- Provider Enumeration Date: 07/16/2015
- Last Update Date: 06/25/2026
Medical Identifiers
Medical identifiers for Taylor Koren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497139745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 31006 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 31006 (Texas) | Secondary |
| 171000000X | Military Health Care Provider | 31006 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Koren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Taylor Koren, DDS
34800 Bob Wilson Dr,
San Diego, CA 92134-1098
Ph: (619) 532-6400 | Taylor Koren, DDS
34800 Bob Wilson Dr,
San Diego, CA 92134-1098
Ph: (619) 532-6400 |
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