Search › California › 106H00000X
Andrew Clack, MA
NPI 1578903175 · on the registry since 2013 · sole proprietor
Practice
- Address
- 9330 Baseline Rd Ste 102
Rancho Cucamonga, CA 91701 - Phone
- (951) 235-2372
- Fax
- (909) 981-2210
- Organisation at this address
- Millot & Millot Dental Corp
Stepanian Family Counseling Inc
Nightingale Home Health Agency, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 12968 Frederick St Ste A, Moreno Valley, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-03
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