Provider Demographics
NPI:1265500391
Name:DARREN F X CLAIR MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:DARREN F X CLAIR MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-866-9889
Mailing Address - Street 1:32123 LINDERO CANYON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VLG
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5414
Mailing Address - Country:US
Mailing Address - Phone:310-866-9889
Mailing Address - Fax:805-379-4541
Practice Address - Street 1:32123 LINDERO CANYON RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTLAKE VLG
Practice Address - State:CA
Practice Address - Zip Code:91361-5414
Practice Address - Country:US
Practice Address - Phone:310-866-9889
Practice Address - Fax:805-379-4541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty