Organization · Type 2 NPI
Clayton Valley Medical Group, Inc.
Non-Pharmacy Dispensing Site · Clayton, CA
NPI number
1720120819
Active
Practice location
1520 Kirker Pass Rd, Suite A
Clayton, CA 94517-1096
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | G63252 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Another provider at this address
About NPI 1720120819
Clayton Valley Medical Group, Inc.'s National Provider Identifier is 1720120819, issued on Feb 13, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Clayton, CA. The record was last updated on Oct 17, 2012.