Search › California › 101YA0400X
Tom Clark
NPI 1033674718 · on the registry since 2019
Practice
- Address
- 838 Beach Court
Lotus, CA 95633 - Phone
- (530) 626-7252
- Clinicians at this address
- 11
Additional practice sites
- 2844 Coloma St, Placerville, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California