Organization
ERIC MCCLOUD MD
Active
Organization
ERIC MCCLOUD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MCCLOUD M.D. (PRESIDENT)
(310) 325-1229
Entity
Organization
Contact information
Practice address
23560 MADISON ST, SUITE 206, TORRANCE, CA 90505-4708
(310) 325-1229
(310) 325-1233
Mailing address
23560 MADISON ST, SUITE 206, TORRANCE, CA 90505-4708
(310) 325-1229
(310) 325-1233
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G61054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G610540
—
CA
Enumeration date
04/18/2007
Last updated
10/29/2007
Update your record
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