Search › California › 106H00000X
Susan Clark
NPI 1255789269 · on the registry since 2016
Practice
- Address
- 3934 Camellia Dr
San Bernardino, CA 92404 - Phone
- (951) 316-4841
- Fax
- (909) 804-0056
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YP2500X
106H00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California