Individual
PHILIP J CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #214,365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 825-0631
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
C30414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C304140
—
CA
Enumeration date
07/14/2006
Last updated
03/22/2010
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