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Individual

ETHAN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17528 HAWTHORNE BLVD, TORRANCE, CA 90504-3110
(310) 379-8305
Mailing address
41506 KINDA DR, PALMDALE, CA 93551-1605
(310) 379-8305

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
9186
CA

Other

Enumeration date
11/11/2025
Last updated
11/11/2025
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