Jason R. Clark in Redwood City - Pediatrics

Jason R. Clark - NPI 1881773539

Jason R. Clark is a Pediatrics in Redwood City, California. Jason R. Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jason R. Clark is 1881773539. The last update date is 2021-12-06.

Jason R. Clark's current location address is 1150 Veterans Blvd, Redwood City, California. You can contact this provider via phone number 6502992000. The mailing address for Jason R. Clark is 1150 Veterans Blvd, Redwood City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason R. Clark
Address 1150 Veterans Blvd, Redwood City, California
Phone Number 6502992000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881773539
Provider Enumeration Date 2006-11-03
Last Updated Date 2021-12-06

Provider Mailing Address Detail

Address 1150 Veterans Blvd
City Redwood City
State California (CA)
Post Code 940632037
Phone Number 6502992000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A66681
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A666810 CA --

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FAQs about Jason R. Clark

What is the Jason R. Clark's unique identification number?

The Jason R. Clark has been assigned the NPI (National Provider Identifier) Number 1881773539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Jason R. Clark?

The Jason R. Clark is situated at 1150 Veterans Blvd, in the city of Redwood City, state of CA, with the zip code 940632037.

What is Jason R. Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jason R. Clark is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Jason R. Clark receive the assignment of its 1881773539 from the Centers for Medicare & Medicaid Services?

The Jason R. Clark was issued its 1881773539 by the Centers for Medicare & Medicaid Services on 2006-11-03.

When was the information regarding Jason R. Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jason R. Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-06.

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