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Search › California › 101YM0800X

Mitchell Clark, M.S

NPI 1578798278 · on the registry since 2009 · sole proprietor

Practice

Address
6160 Mission Gorge Rd Ste 120
San Diego, CA 92120
Phone
(619) 282-2232
Fax
(619) 282-2992
Organisation at this address
Telecare
Telecare Age Wise
Telecare Corporation
Telecare Corporation
San Diego County Hhsa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
246

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-24

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