ISAIAH DANIEL CLARK NPI 1861092447

NPI Information

NPI: 1861092447
Provider Name: ISAIAH DANIEL CLARK
Classification: Clinical Exercise Physiologist - 224Y00000X
Entity Type: Individual
Address:
19510 VAN BUREN BLVD # F3-1045
RIVERSIDE, CA
ZIP 92508
Phone: (951) 215-6829
Get Directions

Isaiah Daniel Clark is a clinical exercise physiologist in Riverside, CA. The provider is a Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. Isaiah Daniel Clark NPI is 1861092447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19510 VAN BUREN BLVD # F3-1045
RIVERSIDE, CA
ZIP 92508-457
Phone: (951) 215-6829
Fax: (951) 246-0734

The enumeration date for this NPI number is 10/31/2020 and was last updated on 8/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174H00000X	Health Educator				No
2	224Y00000X	Clinical Exercise Physiologist		1066261	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	872340	OTHER	CALIFORNIA	AMERICAN COLLEGE OF SPORTS MEDICINE

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

NPI Synchronization or Removal

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