Dr Paul Ray Clark, MD in San Diego, CA

Dr Paul Ray Clark, MD is a Surgery - Plastic And Reconstructive Surgery physician based in San Diego, California. Dr Paul Ray Clark is licensed to practice in California (license number A18267) and his current practice location is 11515 El Camino Real Ste 150, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 720-1440.

NPI number for Dr Paul Ray Clark is 1619362597 and his current mailing address is 6431 Fannin St, Msb 4.331, Houston, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619362597.

Contact Information

	Dr Paul Ray Clark, MD
	11515 El Camino Real Ste 150, San Diego, CA 92130-3037
	(858) 720-1440
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Ray Clark
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	11515 El Camino Real Ste 150, San Diego, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1619362597
Provider Enumeration Date: 03/30/2015
Last Update Date: 03/05/2024

Medical Identifiers

Medical identifiers for Dr Paul Ray Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619362597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	A18267 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Ray Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Paul Ray Clark, MD 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 Ph: (713) 500-7216	Dr Paul Ray Clark, MD 11515 El Camino Real Ste 150, San Diego, CA 92130-3037 Ph: (858) 720-1440

Reviews and Comments

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Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
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Dr Paul Ray Clark, MD - Surgery in San Diego, CA