Individual
KATHERINE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
44274 GEORGE CUSHMAN CT, TEMECULA, CA 92592-5945
(951) 587-0992
Mailing address
33087 VENDANGE DR, WINCHESTER, CA 92596-4538
(818) 730-4123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A13682
CA
208000000X
Pediatrics Physician
DO 1625
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255593802
—
NV
01
—
DO 1625
MEDICAL LICENSE
NV
Enumeration date
06/25/2008
Last updated
05/26/2022
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