Search › California › 103TS0200X
Diane Clark, LEP 3014
NPI 1922563139 · on the registry since 2019 · sole proprietor
Practice
- Address
- 25631 Peter A Hartman Way
Mission Viejo, CA 92691 - Phone
- (949) 580-3218
- Organisation at this address
- Saddleback Valley Usd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-01
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