Provider Demographics
NPI:1144366915
Name:THOMAS, CLAY C (DC)
Entity type:Individual
Prefix:DR
First Name:CLAY
Middle Name:C
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29819 SANTA MARGARITA PKWY STE 100 C
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3620
Mailing Address - Country:US
Mailing Address - Phone:949-589-0526
Mailing Address - Fax:
Practice Address - Street 1:29819 SANTA MARGARITA PKWY STE 100 C
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3620
Practice Address - Country:US
Practice Address - Phone:949-589-0526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor