Search › California › 172V00000X
Kayla Clark
NPI 1790256725 · on the registry since 2018
Practice
- Address
- 3433 W Shaw Ave Ste 107
Fresno, CA 93711 - Phone
- (559) 476-2115
- Organisation at this address
- Miji Care Of Fresno, Inc.
Central Star Behavioral Health, Inc.
Central Star Behavioral Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101Y00000X
171M00000X
175T00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-22
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