Barbara Latrease Clark, PA-C in Los Angeles, CA

Barbara Latrease Clark, PA-C is a Physician Assistant - Medical based in Los Angeles, California. Barbara Latrease Clark is licensed to practice in California (license number PA19103) and her current practice location is 2401 Ridgeley, #4, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 932-9646.

NPI number for Barbara Latrease Clark is 1285819318 and her current mailing address is 2401 Ridgeley, #4, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285819318.

Contact Information

	Barbara Latrease Clark, PA-C
	2401 Ridgeley, #4, Los Angeles, CA 90016
	(323) 932-9646
	(323) 932-9646

Map and Direction

Provider's Profile

Full Name	Barbara Latrease Clark
Gender	Female
Speciality	Physician Assistant - Medical
Location	2401 Ridgeley, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1285819318
Provider Enumeration Date: 01/08/2008
Last Update Date: 11/08/2012

Medical Identifiers

Medical identifiers for Barbara Latrease Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285819318	NPI	-	NPPES
PA19103	Other	CA	MEDICAL BOARD OF CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA19103 (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. Barbara Latrease 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
Barbara Latrease Clark, PA-C 2401 Ridgeley, #4, Los Angeles, CA 90016 Ph: (323) 932-9646	Barbara Latrease Clark, PA-C 2401 Ridgeley, #4, Los Angeles, CA 90016 Ph: (323) 932-9646

Reviews and Comments

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Barbara Latrease Clark, PA-C - Physician Assistant in Los Angeles, CA