Individual provider · Type 1 NPI

Genesis Villalta Clark

Rehabilitation Practitioner · Oceanside, CA

NPI number 1851165716 Active

Practice location

3605 Vista Way Ste 258
Oceanside, CA 92056-4565

Call (760) 758-1480 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1851165716

Genesis Villalta Clark's National Provider Identifier is 1851165716, issued on Nov 10, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Oceanside, CA. The record was last updated on Apr 24, 2025.