MEDICARE: KEVIN CLOBES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1194679167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN CLOBES

Provider Business Mailing Address
First Line	:	26961 HILLSBOROUGH PKWY UNIT 55
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-2448
Country	:	US
Telephone Number	:	661-219-4526
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90073-1003
Country	:	US
Telephone Number	:	310-478-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “ KEVIN CLOBES ” Practice Location

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