Loris E Clark, is a
Audiologist-hearing Aid Fitter based in Fontana, California. Loris E Clark is licensed to practice in California (license number AU2023) and her current practice location is
16940 Slover Ave Ste A, Fontana, California. She can be reached at her office (for appointments etc.) via phone at
(909) 854-8569.
NPI number for Loris E Clark is 1760660138 and her current mailing address is 5000 Cheshire Pkwy N, Plymouth, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760660138.
Healthcare Provider's Profile
Full Name | Loris E Clark |
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Gender | Female |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 16940 Slover Ave Ste A, Fontana, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760660138
- Provider Enumeration Date: 02/07/2008
- Last Update Date: 01/28/2020
Medical Identifiers
Medical identifiers for Loris E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760660138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AU2023 (California) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | AU2023 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loris E Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Loris E Clark, 5000 Cheshire Pkwy N, Plymouth, MN 55446-4103 Ph: (763) 268-4115 | Loris E Clark, 16940 Slover Ave Ste A, Fontana, CA 92337-7566 Ph: (909) 854-8569 |
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