Search › California › Medical Physician Assistant
Tatianna Clark
NPI 1104692144 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3940 Polk St Unit A
Riverside, CA 92505 - Phone
- (818) 632-4265
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-30
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