| Dr Autumn Patricia Clos, MD | |
|
33353 Yucaipa Blvd, Yucaipa, CA 92399 | |
| (909) 790-7900 | |
| Not Available |
| Full Name | Dr Autumn Patricia Clos |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 33353 Yucaipa Blvd, Yucaipa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730285123 | NPI | - | NPPES |
| 1730285123 | Other | NPI | |
| 300002637 | Medicaid | IN | |
| 1730285123 | Other | CA | CALIFORNIA CHILDREN'S SERVICES (CCS) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C54711 (California) | Secondary |
| 208000000X | Pediatrics | 01078576A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Autumn Patricia Clos, MD 33353 Yucaipa Blvd, Yucaipa, CA 92399-2018 Ph: (909) 790-7900 | Dr Autumn Patricia Clos, MD 33353 Yucaipa Blvd, Yucaipa, CA 92399 Ph: (909) 790-7900 |
Dr. James Andrew Washington Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-5071 | |
Mrs. Christy Lee Gorden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-7900 Fax: 909-790-7058 | |
Karen Winston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 |