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

Michael Clark

Individual provider Independent Duty Corpsman · NPI 1376751917

Michael Clark is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

140 Sylvester Rd
San Diego, CA 92106-3521
Phone: (619) 553-8719
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1376751917
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESFebruary 1, 2008

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