Clark, Douglas George
Clark, Douglas George is an individual health care provider with primary practice located at 12665 Garden Grove Blvd Suite 301, Garden Grove CA 92843-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, Douglas George can be contacted via phone (714) 530-7373.Contact Information
Primary practice address
12665 Garden Grove Blvd Suite 301
Garden Grove CA 92843-1901
Phone: (714) 530-7373
Fax: (714) 530-7940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G050862 | California |
Profile Details
| NPI number | 1780688572 |
|---|---|
| LBN Legal business name | Clark, Douglas George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Dec 27th, 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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