Organization
LOS ANGELES EAR, NOSE & THROAT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W CLARK M.D. (PARTNER)
(213) 977-1215
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 603, LOS ANGELES, CA 90017-4810
(213) 977-1215
(213) 977-0404
Mailing address
1245 WILSHIRE BLVD, SUITE 603, LOS ANGELES, CA 90017-4810
(213) 977-1215
(213) 977-0404
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2778
CA
237700000X
Hearing Instrument Specialist
HA1891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000490
—
CA
Enumeration date
04/04/2008
Last updated
07/27/2011
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