Dory Clark is a Pediatrics in San Diego, California. Dory Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dory Clark is 1063561710. The last update date is 2007-07-08.
Dory Clark's current location address is 3860 Calle Fortunada, San Diego, California. You can contact this provider via phone number 8586364300 and fax number 8586364319. The mailing address for Dory Clark is 3860 Calle Fortunada, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dory Clark |
|---|---|
| Address | 3860 Calle Fortunada, San Diego, California |
| Phone Number | 8586364300 |
| Fax Number | 8586364319 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1063561710 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3860 Calle Fortunada |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921234800 |
| Phone Number | 8586364300 |
| Fax Number | 8586364319 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 16260 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Dory Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Dory Clark has been assigned the NPI (National Provider Identifier) 1063561710. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Dory Clark is physically located?
The Dory Clark is situated at the following address: 3860 Calle Fortunada, San Diego, CA 921234800.
What is Dory Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dory Clark is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063561710 to Dory Clark?
The Centers for Medicare & Medicaid Services originally issued the 1063561710 to Dory Clark on 2007-01-10.
When was the information regarding Dory Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dory Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.