Clark, Madison Mimi

Clark, Madison Mimi is an individual health care provider with primary practice located at 801 E. Chapman Ave #203 , Fullerton CA 92831-3839. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Clark, Madison Mimi can be contacted via phone (714) 680-9000.

Contact Information

Primary practice address
801 E. Chapman Ave #203 Fullerton CA 92831-3839
Phone: (714) 680-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1295478501
LBN Legal business name Clark, Madison Mimi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2022
Last updated Apr 14th, 2022 - about 3 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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