Debra Jean Clydesdale in Santa Monica - Preventive Medicine/occupational Environmental Medicine
Debra Jean Clydesdale - NPI 1942428115
Debra Jean Clydesdale is a Preventive Medicine/occupational Environmental Medicine in Santa Monica, California. Debra Jean Clydesdale practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Debra Jean Clydesdale is 1942428115. The last update date is 2007-07-08.
Debra Jean Clydesdale's current location address is 1229 19th St Apt B, Santa Monica, California. You can contact this provider via phone number 3106639822. The mailing address for Debra Jean Clydesdale is 1229 19th St Apt B, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Jean Clydesdale |
|---|---|
| Address | 1229 19th St Apt B, Santa Monica, California |
| Phone Number | 3106639822 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.A.C. |
NPI Number Detail
| NPI Number | 1942428115 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1229 19th St Apt B |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904041238 |
| Phone Number | 3106639822 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preventive Medicine/occupational Environmental Medicine |
|---|---|
| Taxonomy | 2083P0500X |
| Licence No | AC 08548 |
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Definition: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
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Post Comment/ Review Below
What is the Debra Jean Clydesdale's unique identification number?
The Debra Jean Clydesdale has been assigned the NPI (National Provider Identifier) Number 1942428115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Debra Jean Clydesdale's facilities are situated?
The facilities of Debra Jean Clydesdale are physically located at the following address: 1229 19Th St Apt B, Santa Monica, CA, 904041238.
What is Debra Jean Clydesdale's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Debra Jean Clydesdale is Preventive Medicine/occupational Environmental Medicine, and the corresponding taxonomy classification code for this specialized field is 2083P0500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942428115 to Debra Jean Clydesdale?
The Centers for Medicare & Medicaid Services originally issued the 1942428115 to Debra Jean Clydesdale on 2007-04-23.
When was the information regarding Debra Jean Clydesdale most recently updated?
The details pertaining to the Debra Jean Clydesdale, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.