CLARK PEDIATRICS AND FAMILY MEDICINE INC NPI 1619125770

NPI Information

CLARK PEDIATRICS AND FAMILY MEDICINE INC is a specialist in Aliso Viejo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLARK PEDIATRICS AND FAMILY MEDICINE INC NPI is 1619125770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 MAREBLU
SUITE 340
ALISO VIEJO, CA
ZIP 92656-015
Phone: (949) 831-1466
Fax: (949) 831-1462

The provider's authorized official is Heather Maile Tomlin .
The authorized official title is Billing Manager and has the following contact phone number (949) 458-7736.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

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:

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