Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clifford C Douglas MD Inc

Organization Specialist · NPI 1619171980

Clifford C Douglas MD Inc provides Specialist services in Riverside, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 14th St Ste 302
Riverside, CA 92501-4018
Phone: (951) 682-3583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G70288 (CA)

Record details

NPI number1619171980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valerie Payne — Manager · (951) 682-3583
NPI enumeratedJune 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4000 14th St Ste 302, Riverside, CA 92501-4018

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