# ROBERT A CLARK MD MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Family Eye
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295494961
- **Authorized official:** DR. ROBERT ALEXANDER CLARK MD (PRESIDENT)
- **Authorized official phone:** (562) 426-3925

## Contact information

- **Practice address:** 4401 ATLANTIC AVE STE 410, LONG BEACH, CA 90807-2263
- **Practice address phone:** (562) 459-3363
- **Practice address fax:** (562) 459-3364
- **Mailing address:** 955 DEEP VALLEY DR \#2950, PALOS VERDES PENINSULA, CA 90274-3058
- **Mailing address phone:** (310) 707-8113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2021
- **Last updated:** 07/29/2022