Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel J. Clark, MD, Inc

Organization Pulmonary Disease Physician · NPI 1124079793

Samuel J. Clark, MD, Inc provides Pulmonary Disease Physician services in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone: (619) 218-5688
Fax: (619) 795-3991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1124079793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Clark — President · (619) 218-5688
NPI enumeratedMay 16, 2006
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing addressPo Box 881609, San Diego, CA 92168-1609

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