Individual
DR. CLYDE JOSEPH DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 207, ANAHEIM, CA 92801-2815
(714) 772-8282
(714) 772-6493
Mailing address
PO BOX 15090, 92803, ANAHEIM, CA 92803-5090
(714) 772-8282
(714) 772-6493
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A38413
CA
207RP1001X
Pulmonary Disease Physician
Primary
A38413
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A38413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A384130
—
CA
01
—
231-950-7
ECFMG
—
01
—
290004672
MEDICARE RR
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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