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Individual

CLYDE WESP JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 CORPORATE DR, SUITE 280, LADERA RANCH, CA 92694-1152
(949) 388-1798
Mailing address
23321 EL TORO RD, SUITES F&G, LAKE FOREST, CA 92630-4825
(949) 770-0513

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G45946
CA

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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