San Clemente Diagnostic Medical Clinic in San Clemente - Specialist

San Clemente Diagnostic Medical Clinic - NPI 1942414032

San Clemente Diagnostic Medical Clinic is a Specialist in San Clemente, California. San Clemente Diagnostic Medical Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for San Clemente Diagnostic Medical Clinic is 1942414032. The last update date is 2020-08-22.

San Clemente Diagnostic Medical Clinic's current location address is 665 Camino De Los Mares Ste 305, San Clemente, California. You can contact this provider via phone number 9496611215. The mailing address for San Clemente Diagnostic Medical Clinic is 665 Camino De Los Mares Ste 305, San Clemente, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Clemente Diagnostic Medical Clinic
Address 665 Camino De Los Mares Ste 305, San Clemente, California
Phone Number 9496611215
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Fontanes Arturo
Telephone Number 9494930811

NPI Number Detail

NPI Number 1942414032
Provider Enumeration Date 2007-05-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 665 Camino De Los Mares Ste 305
City San Clemente
State California (CA)
Post Code 926732841
Phone Number 9496611215
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No C30059
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about San Clemente Diagnostic Medical Clinic

What is the unique provider identifier assigned to San Clemente Diagnostic Medical Clinic?

The San Clemente Diagnostic Medical Clinic has been issued the NPI (National Provider Identifier) 1942414032 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where San Clemente Diagnostic Medical Clinic's facilities are situated?

The facilities of San Clemente Diagnostic Medical Clinic are physically located at the following address: 665 Camino De Los Mares Ste 305, San Clemente, CA, 926732841.

What is the area of specialization for San Clemente Diagnostic Medical Clinic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for San Clemente Diagnostic Medical Clinic is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

When did the San Clemente Diagnostic Medical Clinic receive its 1942414032?

The San Clemente Diagnostic Medical Clinic was issued its 1942414032 on 2007-05-09, which is the date when the organization was assigned this unique identifier.

When was the San Clemente Diagnostic Medical Clinic's information last updated?

The San Clemente Diagnostic Medical Clinic's information was last updated on 2020-08-22.

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