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

Dr. Paul Ray Clark, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1619362597

Dr. Paul Ray Clark, MD is a Plastic and Reconstructive Surgery Physician in San Diego, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11515 El Camino Real Ste 150
San Diego, CA 92130-3037
Phone: (858) 720-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence A18267 (CA)

Record details

NPI number1619362597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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