Individual
THOMAS F CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM INC
Contact information
Practice address
14600 SHERMAN WAY, SUITE 210, VAN NUYS, CA 91405
(818) 988-6880
(818) 988-3289
Mailing address
14600 SHERMAN WAY, SUITE 210, VAN NUYS, CA 91405
(818) 988-6880
(818) 988-3289
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E26040
—
CA
01
—
95-3802534
BX
—
01
—
953802534
BLUE CROSS
CA
Enumeration date
07/22/2005
Last updated
08/01/2012
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