Lori Clark M.D., Inc.
LBN: Lori Clark M.D., Inc.
Lori Clark M.D., Inc. is an health care organization with primary practice located at 23521 Paseo De Valencia Ste 108 , Laguna Hills CA 92653-3137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Lori Clark M.D., Inc. can be contacted via phone (949) 588-7262, or through Clark, Lori Lynn via phone (949) 588-7262.
Contact Information
Primary practice address
23521 Paseo De Valencia Ste 108
Laguna Hills CA 92653-3137
Phone: (949) 588-7262
Fax: (949) 588-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A82608 | California |
Profile Details
| NPI number | 1619908589 |
|---|---|
| LBN Legal business name | Lori Clark M.D., Inc. |
| DBA Doing business as | |
| Authorized official | Clark, Lori Lynn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619908589 | NPPES |
| California | Other | 00A826080 | BLUE SHIELD OF CA |
| California | MEDICAID | 00A826080 | BLUE SHIELD OF CA |
| California | Other | 00A82608 | BLUE SHIELD OF CA |
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