Richard Wayne Clark, MD - Otolaryngology in Los Angeles, CA

Richard Wayne Clark, MD is a Otolaryngology physician based in Los Angeles, California. Richard Wayne Clark is licensed to practice in California (license number G23111) and his current practice location is 1245 Wilshire Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (213) 977-1215.

NPI number for Richard Wayne Clark is 1073554242 and his current mailing address is 1245 Wilshire Blvd, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073554242.

Contact Information

Richard Wayne Clark, MD
1245 Wilshire Blvd,
Los Angeles, CA 90017-4810
(213) 977-1215
(213) 977-0404

Map and Direction




Physician's Profile

Full NameRichard Wayne Clark
GenderMale
SpecialityOtolaryngology
Location1245 Wilshire Blvd, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073554242
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 07/06/2011

Medical Identifiers

Medical identifiers for Richard Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073554242NPI-NPPES
GR0071560MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology G23111 (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. Richard Wayne 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 AddressPractice Location Address
Richard Wayne Clark, MD
1245 Wilshire Blvd,
Los Angeles, CA 90017-4806

Ph: (213) 977-1215
Richard Wayne Clark, MD
1245 Wilshire Blvd,
Los Angeles, CA 90017-4810

Ph: (213) 977-1215

Reviews and Comments


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