Gifford, Clark Larkin

Gifford, Clark Larkin is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gifford, Clark Larkin can be contacted via phone (951) 782-3685.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Phone: (951) 782-3685
Fax: (951) 784-3256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G47524 California

Profile Details

NPI number 1063493435
LBN Legal business name Gifford, Clark Larkin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Dec 2nd, 2011 - about 14 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 1063493435 NPPES
Other 1730180415 GROUP NPI NUMBER
Other ZZZ31887Z GROUP NPI NUMBER

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