IndividualActive
Richard Clark, M.D.
NPI 1073554242 · Otolaryngology Physician · Los Angeles, CA
Provider details
- NPI number
- 1073554242
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G23111 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Phone: (213) 977-1215
Fax: (213) 977-0404
Street-level locationGet directions
Mailing address
1245 Wilshire Blvd
Los Angeles, CA 90017-4806
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.