Individual provider · Type 1 NPI

Jason Robert Clark

Student in an Organized Health Care Education/Training Program · Alameda, CA

NPI number 1386529907 Active

Practice location

1080 Marina Village Pkwy
Alameda, CA 94501-6427

Call (510) 418-5094 Map

Mailing address

29166 Woodbine Ln, CLARKJ83@HOTMAIL.COM
Menifee, CA 92584-9258

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386529907

Jason Robert Clark's National Provider Identifier is 1386529907, issued on Aug 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alameda, CA. The record was last updated on Aug 11, 2025.