Camellia P. Clark in San Diego - Psychiatry
Camellia P. Clark - NPI 1174624399
Camellia P. Clark is a Psychiatry in San Diego, California. Camellia P. Clark practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Camellia P. Clark is 1174624399. The last update date is 2021-03-25.
Camellia P. Clark's current location address is 4550 Kearny Villa Rd Ste 116, San Diego, California. You can contact this provider via phone number 8582791223. The mailing address for Camellia P. Clark is 4550 Kearny Villa Rd Ste 116, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Camellia P. Clark |
|---|---|
| Address | 4550 Kearny Villa Rd Ste 116, San Diego, California |
| Phone Number | 8582791223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174624399 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2021-03-25 |
Provider Mailing Address Detail
| Address | 4550 Kearny Villa Rd Ste 116 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231583 |
| Phone Number | 8582791223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A052116 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4521160 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Camellia P. Clark by the Centers for Medicare & Medicaid Services?
The Camellia P. Clark has been issued the NPI (National Provider Identifier) 1174624399 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Camellia P. Clark's facilities are situated?
The facilities of Camellia P. Clark are physically located at the following address: 4550 Kearny Villa Rd Ste 116, San Diego, CA, 921231583.
What is Camellia P. Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Camellia P. Clark's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Camellia P. Clark receive its 1174624399 assignment from the Centers for Medicare & Medicaid Services?
The Camellia P. Clark was assigned its 1174624399 by the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information pertaining to Camellia P. Clark most recently updated or revised?
The details related to Camellia P. Clark, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-25.
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