Lori J Clark (NPI# 1073575213, PAC ID# 7214195635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1073575213 |
| PAC ID by PECOS | 7214195635 |
| Professional Enrollment ID | I20120214000875 |
| Full Name | Lori J Clark |
| Address |
1145 Manhattan Ave Manhattan Beach CA 90266-5333 |
| Phone Number | 3105464618 |
| Gender | F |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1145 Manhattan Ave, Manhattan Beach, CA 90266-5333 | 3105464618 |
| Street Address |
1145 MANHATTAN AVE |
| City | MANHATTAN BEACH |
| State | CA |
| Zip | 90266-5333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Karam | General Surgery | 2917 Vista Dr, Manhattan Beach, CA 90266-2069 | |
| Rodney Buchanan | Physical Therapy | 1200 Rosecrans Ave, Suite 206, Manhattan Beach, CA 90266-2451 | |
| Madhu Berman | Allergy/immunology | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Harold Kraft | Pain Management | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Azita Tabassian | Chiropractic | 1200 Rosecrans Ave, Suite 211, Manhattan Beach, CA 90266-2470 | |
| Keith S Feder | Orthopedic Surgery | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2470 | |
| Charles H Song | Allergy/immunology | 3113 N Sepulveda Blvd, Suite A, Manhattan Beach, CA 90266-2492 | |
| Audrey R Hill-lindsay | Psychologist, Clinical | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Chelsea Canning | Clinical Social Worker | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Casey Vacca Sherman | Pediatric Medicine | Uc Regents | 2501 N Sepulveda Blvd, Ucla Dept of Ped Grp, Manhattan Beach, CA 90266-2722 |
| Find all physicians in zip 90266 | |||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
| Specialty | OPTOMETRY |
| City + Specialty | MANHATTAN BEACH + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.