Jeffrey M Clark in Los Angeles - Physician Assistant
Jeffrey M Clark - NPI 1063451193
Jeffrey M Clark is a Physician Assistant in Los Angeles, California. Jeffrey M Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey M Clark is 1063451193. The last update date is 2012-09-26.
Jeffrey M Clark's current location address is File 742997, Los Angeles, California. You can contact this provider via phone number 3605142142 and fax number 3605146820. The mailing address for Jeffrey M Clark is File 742997, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey M Clark |
|---|---|
| Address | File 742997, Los Angeles, California |
| Phone Number | 3605142142 |
| Fax Number | 3605146820 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063451193 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | File 742997 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900742997 |
| Phone Number | 3605142142 |
| Fax Number | 3605146820 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10002763 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8357758 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey M Clark by the Centers for Medicare & Medicaid Services?
The Jeffrey M Clark has been assigned the NPI (National Provider Identifier) 1063451193. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is Jeffrey M Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey M Clark is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Jeffrey M Clark receive the assignment of its 1063451193 from the Centers for Medicare & Medicaid Services?
The Jeffrey M Clark was issued its 1063451193 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information regarding Jeffrey M Clark most recently updated?
The details pertaining to the Jeffrey M Clark, including its address, specialty, and other relevant information, were last refreshed on 2012-09-26.
As of what date was the information pertaining to Jeffrey M Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey M Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-26.