Clark, Theresa Ross

Clark, Theresa Ross is an individual health care provider with primary practice located at 2067 W Vista Way Suite 200, Vista CA 92083-6031. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Clark, Theresa Ross can be contacted via phone (760) 726-2180.

Contact Information

Primary practice address
2067 W Vista Way Suite 200 Vista CA 92083-6031
Phone: (760) 726-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24637 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A110524 California

Profile Details

NPI number 1528104650
LBN Legal business name Clark, Theresa Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 5th, 2012 - about 12 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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