Individual
CORINNE MICHELE MCCLAUGHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 FRUITVALE AVE, OAKLAND, CA 94601
(510) 535-6300
(510) 535-5856
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1821
MEDICARE PART A
CA
05
—
FHC71087F
—
CA
01
—
HAP71087F
FPACT
CA
01
—
ZZZ72118Z
MEDICARE PART B
CA
Enumeration date
09/21/2006
Last updated
03/25/2016
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