TERESA LOUISE CLARK LVN
NPI 1750624904
Licensed Vocational Nurse in Long Beach, CA

Q: What is Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1750624904. It was assigned to this individual provider in the NPPES registry on April 5, 2013. The provider is also known as Teresa Louise Clark Lvn.

Q: What is Teresa Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Clark was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 05, 2013

2121 E 1ST ST, 306, LONG BEACH, CA 90803(661) 675-5177 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Teresa Louise Clark Lvn NPPES

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

TERESA LOUISE CLARK LVN (NPI 1750624904) is an individual licensed vocational nurse in Long Beach, California, licensed in California (258115) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1750624904

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameTERESA LOUISE CLARKCredential: LVN

Location Address2121 E 1ST ST, 306Long Beach, CA 90803-2418

Mailing Address2121 East First Street #306, 306Long Beach, CA 93551 · (661) 675-5177

Phone(661) 675-5177

Sole ProprietorYes

Enumeration DateApril 5, 2013

Last NPPES UpdateApril 23, 2013

✔ NPI 1750624904 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 · 258115

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.

2121 E 1ST ST, Long Beach, CA 90803

Open in Google Maps ↗

Other Names 1

Professional Name (2)Teresa Louise Clark Lvn

Other Identifiers 1

Other164WCA · Licensed Vocational Nurse

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 Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1750624904. It was assigned to this individual provider in the NPPES registry on April 5, 2013. The provider is also known as Teresa Louise Clark Lvn.

Where is Teresa Clark located?

Teresa Clark practices at 2121 E 1st St 306, Long Beach, CA 90803. The listed phone number is (661) 675-5177.

What is Teresa 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 Teresa Clark was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.