Provider Demographics
NPI:1124196258
Name:CLAIR, DARREN F (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:F
Last Name:CLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32123 LINDERO CANYON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5414
Mailing Address - Country:US
Mailing Address - Phone:805-379-0254
Mailing Address - Fax:805-379-4541
Practice Address - Street 1:32123 LINDERO CANYON RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5414
Practice Address - Country:US
Practice Address - Phone:895-379-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51360207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G513600Medicaid
CAG51360AMedicare ID - Type Unspecified
CA00G513600Medicaid