Abigail Clark, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Abigail Clark is licensed to practice in California (license number ) and her current practice location is
3727 W 6th St Ste 402, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 365-7400.
NPI number for Abigail Clark is 1316652068 and her current mailing address is 3727 W 6th St Ste 402, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316652068.
Healthcare Provider's Profile
| Full Name | Abigail Clark |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3727 W 6th St Ste 402, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316652068
- Provider Enumeration Date: 01/17/2023
- Last Update Date: 05/10/2023
Medical Identifiers
Medical identifiers for Abigail Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316652068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abigail Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abigail Clark,
3727 W 6th St Ste 402,
Los Angeles, CA 90020-5112
Ph: (213) 365-7400 | Abigail Clark,
3727 W 6th St Ste 402,
Los Angeles, CA 90020-5112
Ph: (213) 365-7400 |
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