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DANA E. CLARK D.C. INC NPI 1629177340


NPI Information

NPI: 1629177340
Provider Name: DANA E. CLARK D.C. INC

Doing Business As: PACIFIC COAST SPINE AND REHAB

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11110 OHIO AVE STE 108
LOS ANGELES, CA
ZIP 90025
Phone: (310) 473-7130
Get Directions

DANA E. CLARK D.C. INC is a chiropractor in Los Angeles, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DANA E. CLARK D.C. INC NPI is 1629177340. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Coast Spine And Rehab.

The provider's business location address is:

11110 OHIO AVE STE 108
LOS ANGELES, CA
ZIP 90025-345
Phone: (310) 473-7130
Fax: (310) 473-5077

The provider's authorized official is Dana Elmore Clark .
The authorized official title is Director and has the following contact phone number (310) 473-7130.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC28616CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W20278MEDICARE PINCALIFORNIA
2U93711MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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