Clifford I. Marshall MD Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

G11217 Issued in CA

Legal business name

CLIFFORD I. MARSHALL MD INC.

Practice address

2080 Century Park E
1511
Los Angeles, CA 90067-2001

Phone

(310) 556-1888

Fax

(310) 556-4427

NPI assigned

Dec 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clifford Irwin Marshall, M.D.

Title

President

Phone

(310) 556-1888

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1588062103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "1511",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-1888",
            "fax_number": "310-556-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "1511",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-556-1888",
            "fax_number": "310-556-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD I. MARSHALL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-556-1888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "G11217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G112170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Cleveland, M.D.
• Tia Monae Cleveland
• Elgina A Clewley
• Amy Click
• Clifford I Iriele MD Inc
• Michael John Clifford, DC
• Sarah Clifford, SPT
• Thomas G Clifford
• Anne Mae Badua Climaco, M.D.
• Claudia Climaco

• Case Management Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.