Clack, Christina Marie
Clack, Christina Marie is an individual health care provider with primary practice located at 808 W 58Th St , Los Angeles CA 90037-3632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clack, Christina Marie can be contacted via phone (323) 541-1600.Contact Information
Primary practice address
808 W 58Th St
Los Angeles CA 90037-3632
Phone: (323) 541-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95015295 | California |
Profile Details
| NPI number | 1699365601 |
|---|---|
| LBN Legal business name | Clack, Christina Marie |
| Credentials | PNP (C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2021 |
| Last updated | Jan 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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