SearchCalifornia373H00000X

Breanna Clark

NPI 1356124150 · on the registry since 2023

Practice

Address
160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591
Phone
(707) 648-2000
Organisation at this address
Luxor Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
373H00000X
373H00000X
Also registered as
172V00000X
Sex
Female
Record last updated
2025-08-13

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