Chris Gordon Clark, is a
Case Manager/care Coordinator based in Los Angeles, California. Chris Gordon Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
1816 S Figueroa St Fl 6, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(310) 251-2145.
NPI number for Chris Gordon Clark is 1386904654 and his current mailing address is 1816 S Figueroa St Fl 6, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386904654.
Healthcare Provider's Profile
| Full Name | Chris Gordon Clark |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1816 S Figueroa St Fl 6, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386904654
- Provider Enumeration Date: 05/21/2012
- Last Update Date: 06/17/2021
Medical Identifiers
Medical identifiers for Chris Gordon Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386904654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Chris Gordon 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 |
|---|
Chris Gordon Clark,
1816 S Figueroa St Fl 6,
Los Angeles, CA 90015-3422
Ph: (310) 251-2145 | Chris Gordon Clark,
1816 S Figueroa St Fl 6,
Los Angeles, CA 90015-3422
Ph: (310) 251-2145 |
Reviews and Comments