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

Samuel J. Clark, MD, Inc

Organization Pulmonary Disease Physician · NPI 1124079793

Samuel J. Clark, MD, Inc is a Pulmonary Disease Physician in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006
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

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone: (619) 218-5688
Fax: (619) 795-3991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1124079793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Clark — President · (619) 218-5688
NPI enumeratedMay 16, 2006
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing addressPo Box 881609, San Diego, CA 92168-1609

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