Individual
MATTHEW H CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 SUPERIOR AVE, SUITE 225, NEWPORT BEACH, CA 92663-3637
(949) 360-0300
(949) 360-6932
Mailing address
520 SUPERIOR AVE, SUITE 225, NEWPORT BEACH, CA 92663-3637
(949) 360-0300
(949) 360-6932
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
G85764
CA
207VG0400X
Gynecology Physician
G85764
CA
Other
Enumeration date
08/21/2006
Last updated
12/16/2019
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