Richard Clark's National Provider Identifier (NPI) Details
Richard Clark, MFT
NPI: 1568589067
Enumeration Date: 2007-03-22
Last updated: 2010-09-24
Sole Proprietor: NO
Status: active
Postal Address: 704 W 40TH ST APT 1, SAN PEDRO, CA
Phone: 310-831-5134
Primary Practice Address: 4211 AVALON BLVD, LOS ANGELES, CA
Practice's phone: 323-432-5185