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CLIFFORD C DOUGLAS MD INC
NPI 1619171980
Specialist in Riverside, CA

Active since June 12, 2007
4000 14TH ST STE 302, RIVERSIDE, CA 92501(951) 682-3583 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clifford C Douglas Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD C DOUGLAS MD INC (NPI 1619171980) is a healthcare organization registered as a specialist in Riverside, California and active in the NPI registry since June 2007. The organization lists Valerie L. Payne, Manager, as its authorized official.

NPPES Registry Identity

NPI1619171980
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCLIFFORD C DOUGLAS MD INC
Location Address4000 14TH ST STE 302Riverside, CA 92501-4018
Mailing Address4000 14th St Ste 302Riverside, CA 92501-4018 · (951) 682-3583
Phone(951) 682-3583
Organization SubpartNo
Authorized OfficialValerie L. PayneManager · (951) 682-3583
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619171980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G70288
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4000 14TH ST STE 302, Riverside, CA 92501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford C Douglas MD Inc's NPI number?

The NPI number for Clifford C Douglas MD Inc is 1619171980. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Clifford C Douglas MD Inc located?

Clifford C Douglas MD Inc is located at 4000 14th St Ste 302, Riverside, CA 92501. The listed phone number is (951) 682-3583.

What is Clifford C Douglas MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Clifford C Douglas MD Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.