Clark, Diana

Clark, Diana is an sole proprietor health care provider with primary practice located at 3601 Calle Tecate Ste 201 , Camarillo CA 93012-5056. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Clark, Diana can be contacted via phone (805) 289-0120.

Contact Information

Primary practice address
3601 Calle Tecate Ste 201 Camarillo CA 93012-5056
Phone: (805) 289-0120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1689059370
LBN Legal business name Clark, Diana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Apr 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689059370 NPPES
Other 56CC ASPIRA

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