Individual provider · Type 1 NPI

Zoanne A. Clack, MD

Specialist · Montebello, CA

NPI number 1174582399 Active

Practice location

309 W Beverly Blvd
Montebello, CA 90640-4308

Call (323) 726-1222 Map

Fax (818) 587-2493

Mailing address

PO Box 4419
Woodland Hills, CA 91365-4419

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA72372 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174582399

Zoanne A. Clack, MD's National Provider Identifier is 1174582399, issued on Mar 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Montebello, CA. The record was last updated on Jul 13, 2026.