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Loris Clark
NPI 1760660138 · on the registry since 2008
Practice
- Address
- 16940 Slover Ave Ste A
Fontana, CA 92337 - Phone
- (909) 854-8569
- Clinicians at this address
- 2
Additional practice sites
- 3832 La Sierra Ave, Riverside, CA
- 72655 Highway 111 Ste B3, Palm Desert, CA
- 454 Orange St # 4h, Redlands, CA
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Also registered as
- 231H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-28
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