Clark, Ian James

Clark, Ian James is an sole proprietor health care provider with primary practice located at 26340 Camino De Vis Apt M , San Juan Capistrano CA 92675-5123. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Clark, Ian James can be contacted via phone (818) 224-8574.

Contact Information

Primary practice address
26340 Camino De Vis Apt M San Juan Capistrano CA 92675-5123
Phone: (818) 224-8574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 59748 California

Profile Details

NPI number 1154048825
LBN Legal business name Clark, Ian James
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - about 4 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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