IndividualActive
Chester Clark, D.P.M.
NPI 1629089404 · Foot Surgery Podiatrist · Anaheim, CA
Provider details
- NPI number
- 1629089404
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E2464 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1611 S Euclid St
Anaheim, CA 92802-2406
Phone: (714) 535-2806
Fax: (714) 999-1167
Approximate (ZIP-level) locationGet directions
Mailing address
1611 S Euclid St
Anaheim, CA 92802-2406
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2010-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.