Dr. Jane Diane Mcclenahan
Internist Internist - Addiction Medicine
10333 El Camino Real
Atascadero
, California 93422-5808
Dr. Jane Diane Mcclenahan
Internist Internist - Addiction Medicine
10333 El Camino Real
Atascadero
, California 93422-5808
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Jane Diane Mcclenahan
- 10333 El Camino Real
- Atascadero, CA
- Zip : 93422-5808
- Phone :
Second Address
- Dr. Jane Diane Mcclenahan
- 10333 El Camino Real
- Atascadero, CA
- Zip : 93422-5808
- Phone : (805) 468-2188
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Is Dr. Jane Diane Mcclenahan a sole practitioner?
Is Dr. Jane Diane Mcclenahan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | G57808 | CA |
| Y | 111NI0900X | Internist | G57808 | CA |
| N | 207RA0401X | Internist - Addiction Medicine | G57808 | CA |
National Provider Identifier
| NPI | 1679599377 |
|---|---|
| Provider Name | Dr. Jane Diane Mcclenahan |
| First Address | Atascadero, CA 93422-5808 |
| Second Address | Atascadero, CA 93422-5808 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 03/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G578080 | (05) | CA |
| E67717 | (02) | |
| E67717 | (02) | CA |
| G57808 | MED LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.