Individual provider · Type 1 NPI

Alicia Suzanne Clark, MPAP, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1669899985 Active

Practice location

123 S Alvarado St
Los Angeles, CA 90057-2201

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X51943 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1669899985

Alicia Suzanne Clark, MPAP, PA-C's National Provider Identifier is 1669899985, issued on Mar 25, 2014. 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 May 21, 2015.