David A. Clark, M.D., Medical Corporation
LBN: David A. Clark, M.D., Medical Corporation
David A. Clark, M.D., Medical Corporation is an health care organization with primary practice located at 880 Cass St Suite 108, Monterey CA 93940-2947. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
David A. Clark, M.D., Medical Corporation can be contacted via phone (831) 649-9330, or through Feher, Linda via phone (831) 649-9330.
Contact Information
Primary practice address
880 Cass St Suite 108
Monterey CA 93940-2947
Phone: (831) 649-9330
Fax: (831) 649-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00G123030 | California |
Profile Details
| NPI number | 1821109349 |
|---|---|
| LBN Legal business name | David A. Clark, M.D., Medical Corporation |
| DBA Doing business as | |
| Authorized official | Feher, Linda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 6th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821109349 | NPPES |
| California | Other | 00G123035 | MEDICARE INDIV-STAN PTAN |
| California | MEDICAID | GR0057973 | MEDICARE INDIV-STAN PTAN |
| California | Other | 00G123034 | MEDICARE INDIV-STAN PTAN |
| California | Other | ZZZ39341Z | MEDICARE INDIV-STAN PTAN |
| California | Other | ZZZ04915Z | MEDICARE INDIV-STAN PTAN |
| California | Other | 06E9948 | MEDICARE INDIV-STAN PTAN |
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