Provider Demographics
NPI:1407116577
Name:CLEMENT, STEVEN DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DANIEL
Last Name:CLEMENT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5855 OLIVAS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7672
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-667-2865
Practice Address - Street 1:321 E PORT HUENEME RD
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-3222
Practice Address - Country:US
Practice Address - Phone:805-652-4267
Practice Address - Fax:805-488-8082
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2019-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14159207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine