De Clerck, Yves A

De Clerck, Yves A is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. De Clerck, Yves A can be contacted via phone (323) 669-2121.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027-6062
Fax: (323) 660-7128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A32094 California

Profile Details

NPI number 1619077799
LBN Legal business name De Clerck, Yves A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619077799 NPPES
California MEDICAID 00A320940
California Other 00A320940 G15

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