| Doctor Name: | CLENTON REYES CLARION |
| NPI Number: | 1457495764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 52169 |
| Business Practice Address: | 4004 Beyer Blvd San Ysidro, CA - 921732007 |
| Business Phone Number: | 6196624100 |
| Business Fax Number: | |
| Mailing Address: | 1275 30th St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921543476 |
| Phone Number: | 6196624100 |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 52169 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |