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Genesis Villalta Clark
NPI 1851165716 · on the registry since 2023
Practice
- Address
- 3605 Vista Way Ste 258
Oceanside, CA 92056 - Phone
- (760) 758-1480
- Organisation at this address
- Rady Children'S Hospital
Rady Children'S Hospital San Diego
Rady Children'S Hospital San Diego
Rady Children'S Hospital San Diego
Rady Children'S Hospital & Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-24
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