Organization
THOMAS F. CLEMENTE, DPM INC & JOHN D. HALEBIAN, DPM PTRS
Active
Other names
SCV Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARIE GORDON-BARRETTO (OFFICE MANAGER)
(661) 290-2857
Entity
Organization
Contact information
Practice address
23929 MCBEAN PKWY STE 212, VALENCIA, CA 91355-4468
(661) 290-2857
(661) 290-2880
Mailing address
23929 MCBEAN PKWY, SUITE 212, VALENCIA, CA 91355-4466
(661) 290-2857
(661) 290-2880
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2604
CA
213ES0131X
Foot Surgery Podiatrist
E2819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023091808
INDIVIDUAL NPI NUMBER/ JOHN D. HALEBIAN, DPM
CA
01
—
1497755110
INDIVIDUAL NPI NUMBER/THOMAS F. CLEMENTE, DPM
CA
Enumeration date
08/19/2006
Last updated
05/18/2015
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