Clifford C Douglas Md Inc in Riverside - Specialist
Clifford C Douglas Md Inc - NPI 1619171980
Clifford C Douglas Md Inc is a Specialist in Riverside, California. Clifford C Douglas Md Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clifford C Douglas Md Inc is 1619171980. The last update date is 2020-08-22.
Clifford C Douglas Md Inc's current location address is 4000 14th St Ste 302, Riverside, California. You can contact this provider via phone number 9516823583. The mailing address for Clifford C Douglas Md Inc is 4000 14th St Ste 302, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clifford C Douglas Md Inc |
|---|---|
| Address | 4000 14th St Ste 302, Riverside, California |
| Phone Number | 9516823583 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Payne L. Valerie |
| Credentials | CMPE |
| Telephone Number | 9516823583 |
NPI Number Detail
| NPI Number | 1619171980 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4000 14th St Ste 302 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014018 |
| Phone Number | 9516823583 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G70288 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clifford C Douglas Md Inc by the Centers for Medicare & Medicaid Services?
The Clifford C Douglas Md Inc has been issued the NPI (National Provider Identifier) 1619171980 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clifford C Douglas Md Inc's facilities are geographically located?
The facilities of Clifford C Douglas Md Inc are physically situated at the following location: 4000 14Th St Ste 302, Riverside, CA, 925014018.
What is Clifford C Douglas Md Inc's area of expertise and its corresponding taxonomy classification?
The Clifford C Douglas Md Inc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Clifford C Douglas Md Inc receive the assignment of its 1619171980 from the Centers for Medicare & Medicaid Services?
The Clifford C Douglas Md Inc was issued its 1619171980 by the Centers for Medicare & Medicaid Services on 2007-06-12.
As of what date was the information regarding Clifford C Douglas Md Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clifford C Douglas Md Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.