Individual provider · Type 1 NPI

Dominic Clark

Licensed Vocational Nurse · Los Angeles, CA

NPI number 1124872536 Active

Practice location

1670 E 120th St
Los Angeles, CA 90059-3026

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X736986 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1124872536

Dominic Clark's National Provider Identifier is 1124872536, issued on Apr 12, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 12, 2024.