Craig Raymond Clark, DC

Chiropractor · Costa Mesa, CA

Individual Active NPI

NPI number 1497830186

Practice location

3140 Red Hill Ave
#120
Costa Mesa, CA 92626-3400
Phone
(714) 708-2828
Fax
(714) 708-2971

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NPI record

NPI
1497830186
Entity type
Individual (Type 1)
Enumeration date
October 25, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 13980 CA

About Dr. Clark

Craig Raymond Clark, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400. The NPI number 1497830186 was assigned on October 25, 2006 and the record was last updated on July 8, 2007.

Dr. Clark lists a license in the registry: #13980 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Craig Raymond Clark, DC?

The NPI number is 1497830186.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (714) 708-2828.

Where is Dr. Clark located?

3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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