DORY CLARK NP
NPI 1063561710
Nurse Practitioner - Pediatrics in San Diego, CA

Active since January 10, 2007
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123(858) 636-4300(858) 636-4319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dory Clark Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORY CLARK NP (NPI 1063561710) is an individual pediatrics provider in San Diego, California, licensed in California (16260) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063561710
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDORY CLARKCredential: NP
Location Address3860 CALLE FORTUNADA, STE 200San Diego, CA 92123-4800
Mailing Address3860 Calle Fortunada, Ste 200San Diego, CA 92123-4800 · (858) 636-4300 · Fax (858) 636-4319
Fax(858) 636-4319
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063561710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 16260
3860 CALLE FORTUNADA, San Diego, CA 92123

Other Names 1

Former Name (1)Dory Lev

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Dermatology
3860 CALLE FORTUNADA, STE #210
SAN DIEGO, CA 92123
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 210
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Pediatrics (Adolescent Medicine)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dory Clark's NPI number?

The NPI number for Dory Clark is 1063561710. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Dory Lev.

Where is Dory Clark located?

Dory Clark practices at 3860 Calle Fortunada Ste 200, San Diego, CA 92123. The listed phone number is (858) 636-4300.

What is Dory Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Dory Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.