IndividualActive
Ralph Clark, M.D.
NPI 1336317239 · Addiction Medicine (Preventive Medicine) Physician · Loma Linda, CA
Provider details
- NPI number
- 1336317239
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A111705 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11201 Benton St
116a/Main
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 422-3168
Approximate (ZIP-level) locationGet directions
Mailing address
11201 Benton St
Loma Linda, CA 92357-1000
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.