Individual
DR. AUTUMN PATRICIA CLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01078576A
IN
208000000X
Pediatrics Physician
C54711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730285123
CALIFORNIA CHILDREN'S SERVICES (CCS)
CA
01
—
1730285123
NPI
—
05
—
300002637
—
IN
Enumeration date
09/15/2006
Last updated
09/04/2018
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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