MISS CHARISMA MARIE CLARK LVN
NPI 1205191475
Licensed Vocational Nurse in Los Alamitos, CA

Active since July 12, 2012
4281 KATELLA AVE STE 120, LOS ALAMITOS, CA 90720(714) 503-6850 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Charisma Marie Clark Lvn NPPES

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

MISS CHARISMA MARIE CLARK LVN (NPI 1205191475) is an individual licensed vocational nurse in Los Alamitos, California, licensed in California (VN209103) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1205191475
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMISS CHARISMA MARIE CLARKCredential: LVN
Location Address4281 KATELLA AVE STE 120Los Alamitos, CA 90720-3592
Mailing Address4281 Katella Ave Ste 120Los Alamitos, CA 90720-3592 · (714) 503-6850
Sole ProprietorNo
Enumeration DateJuly 12, 2012
NPI 1205191475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · VN209103
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4281 KATELLA AVE STE 120, Los Alamitos, CA 90720

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery
4281 KATELLA AVE STE 120
LOS ALAMITOS, CA 90720
Physician Assistant
4281 KATELLA AVE STE 120
LOS ALAMITOS, CA 90720
Orthopaedic Surgery
4281 KATELLA AVE STE 120
LOS ALAMITOS, CA 90720

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 Charisma Clark's NPI number?

The NPI number for Charisma Clark is 1205191475. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Charisma Clark located?

Charisma Clark practices at 4281 Katella Ave Ste 120, Los Alamitos, CA 90720. The listed phone number is (714) 503-6850.

What is Charisma Clark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Charisma Clark was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.