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Alicia Suzanne Clark, MPAP, PA-C

Physician Assistant, Medical in Los Angeles, CA. Individual provider (NPI-1).

NPI number1669899985
StatusActive
Last updated in NPPESMay 21, 2015

Details

NPI
1669899985
Entity type
Individual (NPI-1)
Name
Mrs. Alicia Suzanne Clark
Credential
MPAP, PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2014
Last updated
May 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical51943CAYes

Other names

  • Alicia Suzanne Perez (Former Name)

Practice location

123 S Alvarado St
Los Angeles, CA 90057-2201

Phone 213-989-7700

Mailing address

123 S Alvarado St
Los Angeles, CA 90057-2201

Phone 213-989-7700

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