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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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