Dr Lawrence Erwin Clark, MD | |
7117 Brockton Ave, Riverside, CA 92506-2658 | |
(951) 782-3642 | |
(951) 784-3266 |
Full Name | Dr Lawrence Erwin Clark |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 7117 Brockton Ave, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982662904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | G435560 (California) | Primary |
Entity Name | Riverside Neurosurgical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477689024 PECOS PAC ID: 6901894757 Enrollment ID: O20040503000379 |
Entity Name | Riverside Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
Mailing Address | Practice Location Address |
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Dr Lawrence Erwin Clark, MD 7117 Brockton Ave, Riverside, CA 92506-2658 Ph: (951) 782-3769 | Dr Lawrence Erwin Clark, MD 7117 Brockton Ave, Riverside, CA 92506-2658 Ph: (951) 782-3642 |
Stephen S. Marvin, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4000 14th St, 302, Riverside, CA 92501 Phone: 951-682-3583 Fax: 951-682-9596 | |
Emad Samir Farag, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave Ste 200, Riverside, CA 92506 Phone: 951-697-5460 | |
Dennis E Cramer, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6276 River Crest Dr, Riverside, CA 92507 Phone: 951-413-0200 Fax: 951-653-5161 | |
Sean William Kaloostian, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6276 River Crest Dr, Ste A, Riverside, CA 92507 Phone: 951-413-0972 | |
Nikhil Sahasrabudhe, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4510 Brockton Ave Ste 175, Riverside, CA 92501 Phone: 951-786-5550 | |
Dr. Clifford Carl Douglas, MD, PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4510 Brockton Ave Ste 175, Riverside, CA 92501 Phone: 951-786-5550 |