Search › California › 207Q00000X
Jesse Clark, M.D
NPI 1811166572 · on the registry since 2008
Practice
- Address
- 910 Vine St
Los Angeles, CA 90038 - Phone
- (323) 461-3106
- Organisation at this address
- The Regents Of The University Of California
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207R00000X
207RI0200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-10
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