Erica Clark, LVN is a
Licensed Vocational Nurse based in Calabasas, California. Erica Clark is licensed to practice in California (license number 690846) and her current practice location is
24969 Mulholland Hwy, Calabasas, California. She can be reached at her office (for appointments etc.) via phone at
(954) 237-5026.
NPI number for Erica Clark is 1265909311 and her current mailing address is 24969 Mulholland Hwy, Calabasas, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265909311.
Provider's Profile
| Full Name | Erica Clark |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 24969 Mulholland Hwy, Calabasas, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265909311
- Provider Enumeration Date: 10/26/2018
- Last Update Date: 10/26/2018
Medical Identifiers
Medical identifiers for Erica Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265909311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 690846 (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. Erica 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 |
|---|
Erica Clark, LVN
24969 Mulholland Hwy,
Calabasas, CA 91302-2366
Ph: (954) 237-5026 | Erica Clark, LVN
24969 Mulholland Hwy,
Calabasas, CA 91302-2366
Ph: (954) 237-5026 |
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