Ann M Clark O.D.

NPI 1093870925 - Optometrist - 152W00000X

NPI Details
NPI 1093870925
Gender Female
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1760 S PACIFIC COAST HWY
REDONDO BEACH CA, 90277-5902, US
Phone (310) 540-2970
Fax
Business Location
1908 ROCKEFELLER LN
#A
REDONDO BEACH CA, 90278-3506, US
Phone (310) 798-9255
Fax (310) 798-9255
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11622T
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According to our database, Ann M Clark O.D. NPI is 1093870925, taxonomy code is 152W00000X and license number is 11622T, license state is located at California. Ann M Clark O.D. physically located at 1760 S Pacific Coast Hwy, Redondo Beach CA, 90277-5902. NPI Number Ann M Clark O.D. has the Individual type.

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1093870925 NPI number is provided on an as is basis without warranty of any kind. 1093870925 is maintained by the National Plan & Provider Enumeration System. The contents of Ann M Clark O.D. are for informational purposes only.