Barbara Latrease Clark in Los Angeles - Medical

Barbara Latrease Clark - NPI 1285819318

Barbara Latrease Clark is a Medical in Los Angeles, California. Barbara Latrease Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Barbara Latrease Clark is 1285819318. The last update date is 2012-11-08.

Barbara Latrease Clark's current location address is 2401 Ridgeley, Los Angeles, California. You can contact this provider via phone number 3239329646 and fax number 3239329646. The mailing address for Barbara Latrease Clark is 2401 Ridgeley, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Barbara Latrease Clark
Address 2401 Ridgeley, Los Angeles, California
Phone Number 3239329646
Fax Number 3239329646
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1285819318
Provider Enumeration Date 2008-01-08
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address 2401 Ridgeley
City Los Angeles
State California (CA)
Post Code 90016
Phone Number 3239329646
Fax Number 3239329646

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA19103
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA19103 CA MEDICAL BOARD OF CA

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FAQs about Barbara Latrease Clark

What is the unique identification code assigned to Barbara Latrease Clark by the Centers for Medicare & Medicaid Services?

The Barbara Latrease Clark has been issued the NPI (National Provider Identifier) 1285819318. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Barbara Latrease Clark is physically located?

The Barbara Latrease Clark is situated at the following address: 2401 Ridgeley, Los Angeles, CA 90016.

What is Barbara Latrease Clark's area of expertise and its corresponding taxonomy classification?

The Barbara Latrease Clark's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

When did the Barbara Latrease Clark receive its 1285819318?

The Barbara Latrease Clark was issued its 1285819318 on 2008-01-08, which is the date when the organization was assigned this unique identifier.

When was the information related to Barbara Latrease Clark most recently updated or refreshed?

The details pertaining to the Barbara Latrease Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-08.

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