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

Dory Clark, NP

Individual provider Pediatric Nurse Practitioner · NPI 1063561710

Dory Clark, NP is a Pediatric Nurse Practitioner in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3860 Calle Fortunada Ste 200
San Diego, CA 92123-4800
Phone: (858) 636-4300
Fax: (858) 636-4319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 16260 (CA)

Record details

NPI number1063561710
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3860 Calle Fortunada, Ste 200, San Diego, CA 92123-4800

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