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

Mariah Lark

Individual provider Athletic Trainer · NPI 1912857012

Mariah Lark is an Athletic Trainer in Orange, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1 University Dr
Orange, CA 92866-1005
Phone: (714) 628-7234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1912857012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address901 E South St, Anaheim, CA 92805-5460

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