Search › California › 225200000X
Clarke Hiserodt
NPI 1417540030 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1819 N Brighton St
Burbank, CA 91506 - Phone
- (818) 263-0790
Additional practice sites
- 2110 Zocolo St Apt 140, Oxnard, CA
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California