Ethel Gonzales Clemente
M.D. | Pediatric Endocrinology | Female
Ethel Gonzales Clemente, M.D. is a Modesto, California based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Ethel Gonzales Clemente is
3525 Pelandale Ave, Modesto, California - 95356-9781. She can be contacted on phone at
559-572-3880.
Ethel Gonzales Clemente is a sole proprietor of her business.
NPI number (Unique professional ID) for Ethel Gonzales Clemente is
1497986731 which was assigned by NPPES on 04 Aug, 2009 and it was last updated on 08 Mar, 2022.
Ethel Gonzales Clemente license number is
C175083 for Pediatrics Pediatric Endocrinology (2080P0205X) in California.
Ethel Gonzales Clemente provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Ethel Gonzales Clemente basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
|---|
| Provider Name : | Ethel Gonzales Clemente |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Ethel Gonzales Clemente address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3525 Pelandale Ave
Modesto, CA, 95356-9781
United States |
|---|
| Phone Number : | 559-572-3880 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497986731 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 04 Aug, 2009 |
|---|
| Last Updated On : | 08 Mar, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethel Gonzales Clemente are as mentioned. Primary taxonomy code for Ethel Gonzales Clemente, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 098965 | OH |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 23711 | MS |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 4301114264 | MI |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | C175083 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Ethel Gonzales Clemente such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1497986731 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9300 Valley Childrens Pl # Sc05
Madera, CA, 93636-8761
United States |
|---|
| Phone Number : | 559-353-5700 |
|---|
Business Location:
Patients can refer following map for directions to
Ethel Gonzales Clemente practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.