KATHERINE CLARK (NPI# 1760730006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760730006 |
| Entity Type | Individual |
| Full Name | KATHERINE CLARK |
| Credential | C.G.C. |
| Practice Address |
5300 Mcconnell Ave Los Angeles CA 90066-7026 |
| Practice Telephone | 3104825577 |
| Practice Fax Number | 3239549001 |
| Mailing Telephone | 3104825577 |
| Mailing Fax Number | 3239549001 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | GC000301 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1770146243 | Katherine T Clark | Pharmacist | 60101 Bodnar Blvd Ste 100, Mishawaka, IN 46544-9328 | 2019-04-19 |
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1104364231 | Katherine Mary Clark | Nurse Anesthetist, Certified Registered | 9205 122nd Ct Ne, Apt A107, Kirkland, WA 98033-5882 | 2017-02-09 |
| 1528207131 | Katherine Clark | Physical Therapist | 1630 Campus Park Dr Ste D, Monroe, NC 28112-5270 | 2009-02-05 |
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1194749978 | Katherine Elizabeth Clark | Dentist | 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1548229404 | Katherine Ann Clark | Licensed Practical Nurse | 89 Laundon St, Elyria, OH 44035-6117 | 2006-03-20 |
| 1851918783 | Katherine Clark | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-06-26 |
| Street Address |
5300 MCCONNELL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770562498 | Naomi Nakata | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2006-01-11 |
| 1740526920 | Jenice Arevalo | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2012-12-17 |
| 1962750430 | Allison Trieste Hershner | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2012-08-15 |
| 1487901039 | Aarin Celeste Ables | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2012-08-13 |
| 1063767325 | Ember Jensen | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2012-07-23 |
| 1730451006 | Jamie Lynn Kostialik | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066 | 2012-02-02 |
| 1184857278 | Carrie Lynn Chou | Genetic Counselor, MS | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2009-08-24 |
| 1295971034 | Franklin Sedarat | Pathology | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2008-12-29 |
| 1376788851 | Stacey Angela Wong | Acupuncturist | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2008-12-11 |
| 1376796086 | Jess Savala Jr. | Pathology | 5300 Mcconnell Ave, Los Angeles, CA 90066-7026 | 2008-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058950 | Daisy Hernandez | Genetic Counselor, MS | 2020 Zonal Ave # 410, Los Angeles, CA 90089-0121 | 2020-09-18 |
| 1063026144 | Jacob Comeaux | Genetic Counselor, MS | 1450 Biggy St # 2517r, Los Angeles, CA 90033-1006 | 2020-09-04 |
| 1497316061 | Franceska Louise Hinkamp | Genetic Counselor, MS | 10833 Le Conte Ave # 12-159, Los Angeles, CA 90095-3075 | 2019-06-25 |
| 1689130627 | Maki Kaneko | Genetic Counselor, MS | 4650 W Sunset Blvd # 173, Los Angeles, CA 90027-6062 | 2019-02-14 |
| 1710465968 | Christina Chen | Genetic Counselor, MS | 4650 W Sunset Blvd # 90, Los Angeles, CA 90027-6062 | 2018-07-31 |
| 1043722887 | Matthew Richard Herzog | Genetic Counselor, MS | 695 Charles E Young Dr S Ste 5506, Los Angeles, CA 90095-8348 | 2017-11-02 |
| 1124537139 | Lamees Nassereddine | Genetic Counselor, MS | 675 Charles E Young Dr S # Mrl5748a, Los Angeles, CA 90095-8348 | 2017-09-21 |
| 1053860874 | Lauren Stephanie Siems | Genetic Counselor, MS | 328 S Cloverdale Ave, Apt 106, Los Angeles, CA 90036-6603 | 2016-09-22 |
| 1083070775 | Ping Gong | Genetic Counselor, MS | 1620 Brockton Ave Apt 13, Los Angeles, CA 90025-3741 | 2016-01-11 |
| 1053723932 | Rachel Shapira | Genetic Counselor, MS | 650 Charles Young Dr S, Room A2-125 Chs Box 95690, Los Angeles, CA 90095-6900 | 2014-05-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on KATHERINE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.