NPI 1063543056
Clifton a Mayberry, MD
Practice location
- Address
- 2750 E Washington Blvd STE 330, Pasadena, CA 91107-1448
- Phone
- (626) 797-9883
- Fax
- (626) 797-9853
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1063543056
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Mar 2007
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.