Individual
ABIGAIL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 CAMINO DE LA REINA # 1147, SAN DIEGO, CA 92108-1539
(619) 688-8111
Mailing address
1880 CAMINO DE LA REINA # 1147, SAN DIEGO, CA 92108-1539
(619) 688-8111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A165554
CA
Other
Enumeration date
04/07/2018
Last updated
03/16/2026
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