Lori Clark M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A82608 Issued in CA

Legal business name

LORI CLARK M.D., INC.

Practice address

23521 Paseo de Valencia Ste 108
Laguna Hills, CA 92653-3137

Phone

(949) 588-7262

Fax

(949) 588-7260

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Lynn Clark, M.D.NPI 1972634897

Title

Physician

Phone

(949) 588-7262

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Lynn Clark

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1972634897
  Medicare reassignment NPD Authorized official
• Tommy Leonard Hicks, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1760513758
  NPD
• Homer Kam Yun Lew, D.O.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1154452142
  NPD
• Nermine Morcos-Clark, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1447381439
  NPD
• Jorge A Rivero, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1013097260
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619908589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533137",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533137",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI CLARK M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-588-7262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A826080",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A826080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA DIRECT",
            "identifier": "00A82608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Lopez
• Nicole Dawn Lopez, M.A., CCC-SLP
• Osvin Stuart Lopez
• Rachael Lynne Lopez, MD
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• Los Angeles Hematology-Oncology Medical Group
• Amin Duff Lotfizadeh, PHD, BCBA-D
• Martin D Louie, M.D.
• Holly Renee Lowery
• LQK Management Services (Holistic Wellness & Esthetics)

• Internal Medicine Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.