Clarence Sutton, is a
General Practice physician based in N Hollywood, California. Clarence Sutton is licensed to practice in California (license number G74582) and his current practice location is 12805 Victory Blvd, N Hollywood, California. He can be reached at his office (for appointments etc.) via phone at
(818) 506-5906.
NPI number for Clarence Sutton is 1174674774 and his current mailing address is 12805 Victory Blvd, N Hollywood, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174674774.
Physician's Profile
| Full Name | Clarence Sutton |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 12805 Victory Blvd, N Hollywood, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174674774
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Clarence Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174674774 | NPI | - | NPPES |
| G74582 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | G74582 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarence Sutton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clarence Sutton,
12805 Victory Blvd,
N Hollywood, CA 91606-3012
Ph: (818) 506-5906 | Clarence Sutton,
12805 Victory Blvd,
N Hollywood, CA 91606-3012
Ph: (818) 506-5906 |
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