Healthcare Provider Details

I. General information

NPI: 1871918490
Provider Name (Legal Business Name): NATALIA A CLIFFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CALIFORNIA AVE STE 202
CORONA CA
92881-6473
US

IV. Provider business mailing address

4744 TELEPHONE RD STE 3154
VENTURA CA
93003-5244
US

V. Phone/Fax

Practice location:
  • Phone: 951-547-4624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number97534
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF77547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: