Clark, Diane

Clark, Diane is an individual health care provider with primary practice located at 1661 N Raymond Ave Ste 200 , Anaheim CA 92801-1146. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Clark, Diane can be contacted via phone (714) 966-8612.

Contact Information

Primary practice address
1661 N Raymond Ave Ste 200 Anaheim CA 92801-1146
Phone: (714) 966-8612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1164832887
LBN Legal business name Clark, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2014
Last updated Feb 23rd, 2024 - about 2 years ago

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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