Individual
VANESSA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10835 NEW ST, DOWNEY, CA 90241
(562) 923-9100
Mailing address
10835 NEW ST, DOWNEY, CA 90241
(562) 923-9100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06800
NC
Other
Enumeration date
10/04/2016
Last updated
02/03/2026
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