Douglas George Clark, M.D. Valid NPI
Individual provider · Internal Medicine Physician · Garden Grove, CA
- NPI
- 1780688572
- Type
- Individual (Type 1)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- License number
- G050862 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-09
- Last updated
- 2007-12-27
Practice location
12665 Garden Grove Blvd, Suite 301
Garden Grove, CA 92843-1901
(714) 530-7373