Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | A52428 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A52428 | CA |
NPI | 1013986397 |
---|---|
Provider Name | Clifford Philip Amoils |
First Address | Valencia, CA 91355 |
Second Address | Valencia, CA 91355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G53672 | (02) |