Clay, Corrie Tolerico
Clay, Corrie Tolerico is an individual health care provider with primary practice located at 8881 Fletcher Pkwy Ste. 200, La Mesa CA 91942-3134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clay, Corrie Tolerico can be contacted via phone (619) 464-6434.Contact Information
Primary practice address
8881 Fletcher Pkwy Ste. 200
La Mesa CA 91942-3134
Phone: (619) 464-6434
Fax: (619) 464-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A91977 | California |
Profile Details
| NPI number | 1437207750 |
|---|---|
| LBN Legal business name | Clay, Corrie Tolerico |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 3rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437207750 | NPPES |
| California | Other | A91977 | STATE MED BD LICENSE |
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