Search › California › 1041C0700X
Clint Edwards
NPI 1821467705 · on the registry since 2015 · sole proprietor
Practice
- Address
- 58811 Santa Barbara Dr
Yucca Valley, CA 92284 - Phone
- (760) 702-6188
- Fax
- (760) 560-5924
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California