Patricia Chu Clark
M.D. | Pediatrics | Female
Patricia Chu Clark, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics. Patricia Chu Clark is also known as
Patricia Ann Chu Clark.
Current practice location of Patricia Chu Clark is
8110 Birmingham Way, San Diego, California - 92123-2758. She can be contacted on phone at
858-966-4032.
Patricia Chu Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Patricia Chu Clark is
1982776506 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 25 Aug, 2011.
Patricia Chu Clark license number is
G16640 for Pediatrics (208000000X) in California.
Patricia Chu Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Patricia Chu Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Patricia Chu Clark |
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| Other Name : | Patricia Ann Chu Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Patricia Chu Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8110 Birmingham Way
San Diego, CA, 92123-2758
United States |
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| Phone Number : | 858-966-4032 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982776506 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 25 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patricia Chu Clark are as mentioned. Primary taxonomy code for Patricia Chu Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G16640 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Patricia Chu Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G166400 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3860 Calle Fortunada, Suite 210
San Diego, CA, 92123-4800
United States |
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| Phone Number : | 858-309-6303 |
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| Fax Number : | 858-309-6301 |
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Business Location:
Patients can refer following map for directions to
Patricia Chu Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.