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CAMELLIA P CLARK MD INC
NPI 1689421471
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since May 01, 2024
11515 EL CAMINO REAL, SUITE #100, SAN DIEGO, CA 92130(858) 263-5947 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camellia P Clark Md Inc NPPES

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

CAMELLIA P CLARK MD INC (NPI 1689421471) is a healthcare organization registered as a psychiatry in San Diego, California and active in the NPI registry since May 2024. The organization lists Camellia Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1689421471
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCAMELLIA P CLARK MD INC
Location Address11515 EL CAMINO REAL, SUITE #100San Diego, CA 92130
Mailing Address4240 Kearny Mesa Rd Ste 120San Diego, CA 92111-3771 · (858) 263-5947
Phone(858) 263-5947
Organization SubpartNo
Authorized OfficialCamellia ClarkOwner · (858) 263-5947
Enumeration DateMay 1, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1689421471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11515 EL CAMINO REAL, San Diego, CA 92130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

DR. MANUEL PASQUALE SILVA DPT, PT
Physical Therapist
11515 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 793-1460
ACUPUNCTURE FERTILITY CENTER, INC.
Clinic/Center (Primary Care)
11515 EL CAMINO REAL, SUITE 150
SAN DIEGO, CA 92130
San Diego County (858) 792-7611
JENEANNE PADEN, L.AC.
Acupuncturist
11515 EL CAMINO REAL, STE 160
SAN DIEGO, CA 92130
San Diego County (858) 792-7611
DR. GILBERT WESLEY LEE MD FACS
Surgery (Plastic and Reconstructive Surgery)
11515 EL CAMINO REAL, SUITE 150
SAN DIEGO, CA 92130
San Diego County (858) 720-1440
MS. BARBARA HITOMI TANAKA NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
11515 EL CAMINO REAL, SUITE 100
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
MRS. RENEE MARNI WALKER L.AC.
Acupuncturist
11515 EL CAMINO REAL, SUITE 160
SAN DIEGO, CA 92130
San Diego County (858) 792-7611
DR. KARLA FURLONG M.D.
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
DR. SUSANNA JUNG-A PARK MD
Specialist
11515 EL CAMINO REAL, SUITE 100
SAN DIEGO, CA 92130
San Diego County (858) 794-6363

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 Camellia P Clark MD Inc's NPI number?

The NPI number for Camellia P Clark MD Inc is 1689421471. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Camellia P Clark MD Inc located?

Camellia P Clark MD Inc is located at 11515 El Camino Real Suite #100, San Diego, CA 92130. The listed phone number is (858) 263-5947.

What is Camellia P Clark MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Camellia P Clark MD Inc was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.