Clinton Russell Stark is a Tustin, California based male chiropractor who is specialized as General Chiropractor. Active license number of Clinton Russell Stark as General Chiropractor is DC24623 in California. Clinton Russell Stark is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Clinton Russell Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
13771 Newport Ave, Suite 8, Tustin, California, 92780-4693
Phone:
714-368-7600
Fax:
714-368-7630
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124184593
NPI Enumeration Date:
29 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clinton Russell Stark are as mentioned below.
License Number
Specialization
State
Status
DC24623
Chiropractor
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Clinton Russell Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
54220DC0246230
Other
California
BLUE SHIELD OF CALIFORNIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13771 Newport Ave, Suite 8 Tustin, California
Zip:
92780-4693
Phone Number:
714-368-7600
Fax Number:
714-368-7630
Patients can reach Clinton Russell Stark at 13771 Newport Ave, Suite 8, Tustin, California or can call to book an appointment on 714-368-7600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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