Clark, Samuel J.
Clark, Samuel J. is an individual health care provider with primary practice located at 1940 El Cajon Blvd , San Diego CA 92104-1005. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Clark, Samuel J. can be contacted via phone (619) 543-4500.Contact Information
Primary practice address
1940 El Cajon Blvd
San Diego CA 92104-1005
Phone: (619) 543-4500
Fax: (619) 295-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A52335 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A52335 | California |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | A52335 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A52335 | California |
Profile Details
| NPI number | 1689611709 |
|---|---|
| LBN Legal business name | Clark, Samuel J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jun 25th, 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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