Healthcare Provider Details

I. General information

NPI: 1013986397
Provider Name (Legal Business Name): CLIFFORD PHILIP AMOILS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: C PHILIP AMOILS MD

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27879 SMYTH DR
VALENCIA CA
91355
US

IV. Provider business mailing address

27879 SMYTH DR
VALENCIA CA
91355
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-2500
  • Fax: 661-362-0230
Mailing address:
  • Phone: 661-259-2500
  • Fax: 661-362-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberA52428
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberA52428
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberA52428
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: