Individual
CLAY THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710-2084
(424) 306-4000
Mailing address
1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710-2084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A182859
CA
Other
Enumeration date
04/20/2021
Last updated
08/13/2024
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