Los Angeles Ear, Nose & Throat Associates

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU2778 Issued in CA

Legal business name

LOS ANGELES EAR, NOSE & THROAT ASSOCIATES

Practice address

1245 Wilshire Blvd
Suite 603
Los Angeles, CA 90017-4810

Phone

(213) 977-1215

Fax

(213) 977-0404

NPI assigned

Apr 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard W Clark, M.D.NPI 1073554242

Title

Partner

Phone

(213) 977-1215

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Wayne Clark, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1073554242
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1790958387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-977-1215",
            "fax_number": "213-977-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-977-1215",
            "fax_number": "213-977-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES EAR, NOSE & THROAT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-977-1215",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2778",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA1891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU000490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Doctors Corp (los angeles metropolitan medical center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Drugs
• Los Angeles Ear, Nose & Throat Associates
• Los Angeles Endoscopy Center (Los Angeles Ambulatory Surgery Center)
• Los Angeles ENT Surgical Associates
• Los Angeles Family Medical Services Inc (Los Angeles Family MedicalClinic)
• Los Angeles Gastroenterology Associates Inc

• Audiologist-Hearing Aid Fitter in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.