Individual
ADAM BRADLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2876 SYCAMORE DR STE 101, SIMI VALLEY, CA 93065-1550
(805) 527-0115
(805) 522-0115
Mailing address
2876 SYCAMORE DR STE 101, SIMI VALLEY, CA 93065-1550
(805) 527-0115
(805) 522-0115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A16957
CA
208M00000X
Hospitalist Physician
A16957
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2015
Last updated
06/28/2024
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