EVANS CLARK
NPI 1679887848
Rehabilitation Practitioner in Los Angeles, CA

The NPI number for Evans Clark is 1679887848. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

The NPPES record for Evans Clark was last updated on July 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2010

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Evans Clark NPPES

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

EVANS CLARK (NPI 1679887848) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since July 2010.

NPI1679887848

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameEVANS CLARK

Location Address526 S SAN PEDRO STLos Angeles, CA 90013-2102

Mailing Address10507 Crenshaw Blvd, 1Inglewood, CA 90303-4483 · (213) 488-9559

Sole ProprietorNo

Enumeration DateJuly 30, 2010

✔ NPI 1679887848 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

526 S SAN PEDRO ST, Los Angeles, CA 90013

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

Rehabilitation Practitioner