MEDICARE: DR. PATRICK ELVIN CLARKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A114369	CA

General Provider Information

NPI Number	:	1194015891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK ELVIN CLARKE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1211
Second Line	:
City	:	ROSEMEAD
State	:	CA
Zip	:	91770-1015
Country	:	US
Telephone Number	:	786-546-2870
Fax Number	:

Provider Business Practice Location Address
First Line	:	3002 DOW AVE
Second Line	:	SUITE 204
City	:	TUSTIN
State	:	CA
Zip	:	92780-7233
Country	:	US
Telephone Number	:	888-277-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

Similar Medicare Providers

1386718377 — DR. HANS PARK MD
Practice Location Address:

3002 DOW AVE , #204
TUSTIN, CA
92780-7233

Practice Phone: 714-368-0800
Practice Fax: 888-353-6442

1063720373 — DR. MYRON REIFF M.D.
Practice Location Address:

3002 DOW AVE , SUITE 204
TUSTIN, CA
92780-7233

Practice Phone: 714-368-0800
Practice Fax: 714-368-0900

1841582020 — WAYNE BRIAN CENTRA MOTR/L
Practice Location Address:

3002 DOW AVE , 114
TUSTIN, CA
92780-7233

Practice Phone: 714-731-4668
Practice Fax: 714-464-4668

1750650933 — CREATIVE BEHAVIOR INTERVENTIONS
Practice Location Address:

3002 DOW AVE , SUITE 520
TUSTIN, CA
92780-7233

Practice Phone: 949-861-1580
Practice Fax: 949-328-7689

1609227610 — JANELL REES BCABA
Practice Location Address:

3002 DOW AVE , 122
TUSTIN, CA
92780-7233

Practice Phone: 949-328-7688
Practice Fax:

1598117590 — DR. DENISE MARIE ECKMAN PSY.D., BCBA-D
Practice Location Address:

3002 DOW AVE , #122
TUSTIN, CA
92780-7233

Practice Phone: 949-328-7688
Practice Fax: 949-328-7689

Directions to “ DR. PATRICK ELVIN CLARKE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.