Mccloud, Eric
Mccloud, Eric is an sole proprietor health care provider with primary practice located at 23560 Madison St Ste 206, Torrance CA 90505-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Mccloud, Eric can be contacted via phone (310) 325-1229.Contact Information
Primary practice address
23560 Madison St Ste 206
Torrance CA 90505-4708
Phone: (310) 325-1229
Fax: (310) 325-1233
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | G61054 | California |
Profile Details
NPI number | 1386657948 |
---|---|
LBN Legal business name | Mccloud, Eric |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 14th, 2006 |
Last updated | Mar 22nd, 2021 - about 4 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 | 1386657948 | NPPES |
California | MEDICAID | 00G610540 | |
California | Other | 00G610540 |
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