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: July 19, 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.

Internal Medicine
1245 WILSHIRE BLVD, STE 804
LOS ANGELES, CA 90017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Physician Assistant
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, STE 703
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE 514
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE #403
LOS ANGELES, CA 90017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073554242, enumerated as an "individual" on June 09, 2006.

The provider is located at 1245 WILSHIRE BLVD LOS ANGELES, CA 90017 and the phone number is (213) 977-1215.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.