Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA ROSS CLARK, MD
ActiveDR. THERESA ROSS CLARK, MD is a Internal Medicine healthcare provider located in VISTA, California. NPI 1528104650 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · VISTA, CA
Registration Details
- NPI Number
- 1528104650
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.355397841668 yrs)
- Last Updated
- Sep 5, 2012
- Licenses
-
24637 (NE)A110524 (CA)
Practice Information
- Address
-
2067 W VISTA WAYSUITE 200VISTA, CA, 920836031Browse CA providers · Browse ZIP 92083
- Phone
- 7607262180
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in VISTA, CA
| Name | Credential | NPI |
|---|---|---|
| FARZANEH HASSANI | MD | 1942204979 |
| DR. DAVID TODD WINE | M.D. | 1811985542 |
| MARK C O'BRIEN | D.O. | 1497744247 |
| VICTOR SOUZA | M.D. | 1457340200 |
| SAM BAROUDI | MD | 1316936933 |
| DR. WENDY SHUMATE | M.D. | 1669457313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.