Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ZOANNE A CLACK M.D.
NPI 1174582399
Specialist in Montebello, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since March 17, 2006

309 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 726-1222(818) 587-2493 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Zoanne A Clack M.d. NPPES

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

DR. ZOANNE A CLACK M.D. (NPI 1174582399) is an individual specialist in Montebello, California, licensed in California (A72372) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1174582399

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. ZOANNE A CLACKCredential: M.D.

Location Address309 W BEVERLY BLVDMontebello, CA 90640-4308

Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (818) 340-9988 · Fax (818) 587-2493

Phone(323) 726-1222

Fax(818) 587-2493

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1174582399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A72372

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

309 W BEVERLY BLVD, Montebello, CA 90640

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