IndividualActive
Abigail Clark
NPI 1033616032 · Psychiatry Physician · San Diego, CA
Provider details
- NPI number
- 1033616032
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- A165554 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1880 Camino De La Reina # 1147
San Diego, CA 92108-1539
Phone: (619) 688-8111
Approximate (ZIP-level) locationGet directions
Mailing address
1880 Camino De La Reina # 1147
San Diego, CA 92108-1539
Registry dates
- Enumerated
- 2018-04-07
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.