Individual
ETHEL GONZALES CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
098965
OH
2080P0205X
Pediatric Endocrinology Physician
23711
MS
2080P0205X
Pediatric Endocrinology Physician
4301114264
MI
2080P0205X
Pediatric Endocrinology Physician
Primary
C175083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497986731
—
CA
Enumeration date
08/04/2009
Last updated
03/08/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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