Individual provider · Type 1 NPI
Barbara Latrease Clark, PA-C
Medical Physician Assistant · Los Angeles, CA
NPI number
1285819318
Active
Practice location
2401 Ridgeley, #4
Los Angeles, CA 90016
Fax (323) 932-9646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA19103 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1285819318
Barbara Latrease Clark, PA-C's National Provider Identifier is 1285819318, issued on Jan 8, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 8, 2012.