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MATTHEW HOUSTON CLARK MD INC NPI 1679801229


NPI Information

NPI: 1679801229
Provider Name: MATTHEW HOUSTON CLARK MD INC

Doing Business As: THE CLARK CENTER FOR UROGYNECOLOGY

Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
520 SUPERIOR AVE
SUITE 225
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 360-0300
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MATTHEW HOUSTON CLARK MD INC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Newport Beach, CA. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. MATTHEW HOUSTON CLARK MD INC NPI is 1679801229. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Clark Center For Urogynecology.

The provider's business location address is:

520 SUPERIOR AVE
SUITE 225
NEWPORT BEACH, CA
ZIP 92663-637
Phone: (949) 360-0300

The provider's authorized official is Matthew H. Clark .
The authorized official title is Owner and has the following contact phone number (949) 360-0300.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 9/4/2014.


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
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryYes

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: 4/28/2024

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