Clark, Diana Maria
Clark, Diana Maria is an sole proprietor health care provider with primary practice located at 18002 Irvine Blvd Ste 202F , Tustin CA 92780-3322. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Diana Maria can be contacted via phone (657) 205-6611.Contact Information
Primary practice address
18002 Irvine Blvd Ste 202F
Tustin CA 92780-3322
Phone: (657) 205-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 81829 | California |
Profile Details
| NPI number | 1891986741 |
|---|---|
| LBN Legal business name | Clark, Diana Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 19th, 2022 - 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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