Clark, James William

Clark, James William is an individual health care provider with primary practice located at 11015 Bloomfield Ave , Santa Fe Springs CA 90670-4601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Clark, James William can be contacted via phone (562) 906-2676.

Contact Information

Primary practice address
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601
Phone: (562) 906-2676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1093225153
LBN Legal business name Clark, James William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated May 7th, 2024 - about last year

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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