Healthcare Provider Details

I. General information

NPI: 1083538870
Provider Name (Legal Business Name): CLAY ALAN SALES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47915 OASIS ST
INDIO CA
92201-6950
US

IV. Provider business mailing address

1717 E VISTA CHINO STE A7-173
PALM SPRINGS CA
92262-3559
US

V. Phone/Fax

Practice location:
  • Phone: 760-863-8650
  • Fax:
Mailing address:
  • Phone: 206-683-8374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: