Provider Demographics
NPI:1508849035
Name:PAIK, CLARA K (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARA
Middle Name:K
Last Name:PAIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:OB/GYN, SUITE 2500, ACC
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6930
Mailing Address - Fax:916-734-6666
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:OB/GYN, SUITE 2500, ACC
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6930
Practice Address - Fax:916-734-6666
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2007-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA68053207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A680530Medicaid
CA000A680530Medicare PIN
CAH39338Medicare UPIN