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DR. LEON GORDON CLARK M.D. NPI 1487004370


NPI Information

NPI: 1487004370
Provider Name: DR. LEON GORDON CLARK, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: UCSF MEDICAL GROUP BUSINESS SERVICES

PECOS Registration: Yes

Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 340-8248
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DR. Leon Gordon Clark, M.D. is a dermatology in Rancho Mirage, CA with 8 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Leon Gordon Clark, M.D. NPI is 1487004370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270-221
Phone: (760) 340-8248

The NPI 1487004370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 10/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA153921CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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