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Contact Information

CHARLES T CLEMONS, MD
926 RAINTREE PL
LAFAYETTE, CA94549-4816
 Phone: 925-942-0451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES T CLEMONS · (Male)

NPI Number 1730239542
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2007
Last updated 02/26/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C39170
  • CA Medicaid 00C391700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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