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Individual

CLIFFORD J. MERLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14608 HAWTHORNE BLVD, LAWNDALE, CA 90260-1521
(310) 978-4970
(310) 978-8668
Mailing address
PO BOX 80869, CITY OF INDUSTRY, CA 91716-8420

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G51280
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G512800
CA
01
A005
TRIWEST PROVIDER #
CA
Enumeration date
02/07/2007
Last updated
02/17/2026
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