Clydel June Tabacolde

NPI 1821852773 · on the registry since 2024 · sole proprietor

Practice

Address: 5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone: (925) 847-3000
Organisation at this address: Stanford Health Care Tri-Valley
Pleasanton Emergency Medical Group
California Pathology Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California