RICHARD WAYNE CLARK M.D.
NPI 1073554242
Otolaryngology in Los Angeles, CA

Active since June 09, 2006
1245 WILSHIRE BLVD, LOS ANGELES, CA 90017(213) 977-1215(213) 977-0404 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Wayne Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD WAYNE CLARK M.D. (NPI 1073554242) is an individual otolaryngology provider in Los Angeles, California, licensed in California (G23111) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073554242
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRICHARD WAYNE CLARKCredential: M.D.
Location Address1245 WILSHIRE BLVDLos Angeles, CA 90017-4810
Mailing Address1245 Wilshire BlvdLos Angeles, CA 90017-4806 · (213) 977-1215 · Fax (213) 977-0404
Fax(213) 977-0404
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 6, 2011
NPI 1073554242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · G23111
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1245 WILSHIRE BLVD, Los Angeles, CA 90017

Other Identifiers 3

Medicare ID-Type UnspecifiedW12046CA
MedicaidGR0071560CA
Medicare UPINA41858CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1245 WILSHIRE BLVD, SUITE 814
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, SUITE 790
LOS ANGELES, CA 90017
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD, SUITE 801
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Internal Medicine (Pulmonary Disease)
1245 WILSHIRE BLVD, SUITE 407
LOS ANGELES, CA 90017
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Clark's NPI number?

The NPI number for Richard Clark is 1073554242. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Richard Clark located?

Richard Clark practices at 1245 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 977-1215.

What is Richard Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Richard Clark was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.