Provider Demographics
NPI:1437165602
Name:CLARIZIO, DINO (MD)
Entity Type:Individual
Prefix:DR
First Name:DINO
Middle Name:
Last Name:CLARIZIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1505 S BALDWIN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7925
Mailing Address - Country:US
Mailing Address - Phone:626-821-3290
Mailing Address - Fax:626-821-3295
Practice Address - Street 1:1505 S BALDWIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7925
Practice Address - Country:US
Practice Address - Phone:626-821-3290
Practice Address - Fax:626-821-3295
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42142207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA85759Medicare UPIN
CAA42142Medicare ID - Type Unspecified