Individual provider · Type 1 NPI

Jesse Lawton Clark, MD

Family Medicine Physician · Los Angeles, CA

NPI number 1811166572 Active

Practice location

910 Vine St
Los Angeles, CA 90038-2702

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA95103 (CA)
Infectious Disease Physician 207RI0200XA95103 (CA)
Family Medicine Physician Primary 207Q00000XA95103 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1811166572

Jesse Lawton Clark, MD's National Provider Identifier is 1811166572, issued on Feb 27, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 10, 2026.