Clark, David A.
Clark, David A. is an sole proprietor health care provider with primary practice located at 880 Cass St Suite 108, Monterey CA 93940-2947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Clark, David A. can be contacted 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 |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G12303 | California |
Profile Details
| NPI number | 1619952421 |
|---|---|
| LBN Legal business name | Clark, David A. |
| Credentials | M.D., MEDICAL CORP. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Sep 6th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619952421 | NPPES |
| California | Other | 00G123035 | MEDICARE INDIV-STAN PTAN |
| California | Other | 06E9948 | MEDICARE INDIV-STAN PTAN |
| California | Other | ZZZ39341Z | MEDICARE INDIV-STAN PTAN |
| California | MEDICAID | GR0057973 | MEDICARE INDIV-STAN PTAN |
| California | Other | 00G123034 | MEDICARE INDIV-STAN PTAN |
| California | Other | ZZZ04915Z | MEDICARE INDIV-STAN PTAN |
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