Clark, Paula Ann

Clark, Paula Ann is an sole proprietor health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Clark, Paula Ann can be contacted via phone (310) 920-9459.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Phone: (310) 920-9459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 556632 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3548 California

Profile Details

NPI number 1215110580
LBN Legal business name Clark, Paula Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2007
Last updated Dec 11th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215110580 NPPES
Other I9551971 AETNA
Other 1261768 AETNA

Popular Providers