Paddock, Clark Stuart

Paddock, Clark Stuart is an sole proprietor health care provider with primary practice located at 23962 Alicia Pkwy Suite I1, Mission Viejo CA 92691-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Paddock, Clark Stuart can be contacted via phone (949) 452-7699.

Contact Information

Primary practice address
23962 Alicia Pkwy Suite I1 Mission Viejo CA 92691-3940
Phone: (949) 452-7699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A51251 California

Profile Details

NPI number 1497784110
LBN Legal business name Paddock, Clark Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Apr 23rd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497784110 NPPES
California MEDICAID 00A512510

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