Richard Wayne Clark in Los Angeles - Otolaryngology
Richard Wayne Clark - NPI 1073554242
Richard Wayne Clark is a Otolaryngology in Los Angeles, California. Richard Wayne Clark practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Richard Wayne Clark is 1073554242. The last update date is 2011-07-06.
Richard Wayne Clark's current location address is 1245 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 2139771215 and fax number 2139770404. The mailing address for Richard Wayne Clark is 1245 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Wayne Clark |
|---|---|
| Address | 1245 Wilshire Blvd, Los Angeles, California |
| Phone Number | 2139771215 |
| Fax Number | 2139770404 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073554242 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2011-07-06 |
Provider Mailing Address Detail
| Address | 1245 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900174806 |
| Phone Number | 2139771215 |
| Fax Number | 2139770404 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | G23111 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0071560 | CA | -- |
Post Comment/ Review Below
What is the Richard Wayne Clark's 1073554242?
The Richard Wayne Clark's NPI (National Provider Identifier) Number is 1073554242. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard Wayne Clark's facilities are geographically located?
The facilities of Richard Wayne Clark are physically situated at the following location: 1245 Wilshire Blvd, Los Angeles, CA, 900174806.
What is Richard Wayne Clark's area of expertise and its corresponding taxonomy classification?
The Richard Wayne Clark's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1073554242 assigned to Richard Wayne Clark?
The Richard Wayne Clark was issued its 1073554242 on 2006-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard Wayne Clark most recently updated or revised?
The information pertaining to Richard Wayne Clark, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-06.
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