Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camellia P Clark MD Inc

Organization Psychiatry Physician · NPI 1689421471

Camellia P Clark MD Inc is a Psychiatry Physician in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11515 El Camino Real Ste #100
San Diego, CA 92130
Phone: (858) 263-5947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1689421471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camellia Clark — Owner · (858) 263-5947
NPI enumeratedMay 1, 2024
Last updated in NPPESMay 1, 2024
Certification dateApril 22, 2024
Mailing address4240 Kearny Mesa Rd Ste 120, San Diego, CA 92111-3771

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