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Clyde Wesp Jr., M.D.

Pediatrics in Ladera Ranch, CA. Individual provider (NPI-1).

NPI number1679679336
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679679336
Entity type
Individual (NPI-1)
Name
Clyde Wesp Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsG45946CAYes

Practice location

800 Corporate Dr
Suite 280
Ladera Ranch, CA 92694-1152

Phone 949-388-1798

Mailing address

23321 El Toro Rd
Suites F&G
Lake Forest, CA 92630-4825

Phone 949-770-0513

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