Individual
DR. ERIC NORBERG CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WILLARD, IRVINE, CA 92604-4694
(888) 988-2800
(626) 405-6768
Mailing address
6 WILLARD, IRVINE, CA 92604-4694
(888) 988-2800
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G77089
STATE LICENSE #
CA
Enumeration date
10/25/2006
Last updated
11/18/2016
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