Individual
RICHARD WAYNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, LOS ANGELES, CA 90017-4810
(213) 977-1215
(213) 977-0404
Mailing address
1245 WILSHIRE BLVD, LOS ANGELES, CA 90017-4806
(213) 977-1215
(213) 977-0404
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G23111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071560
—
CA
Enumeration date
06/09/2006
Last updated
07/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us