IndividualActive
Larry Clark
NPI 1174884456 · Surgical Assistant · Beverly Hills, CA
Provider details
- NPI number
- 1174884456
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 124156 (CA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210-5027
Phone: (310) 855-8058
Fax: (310) 855-8059
Approximate (ZIP-level) locationGet directions
Mailing address
435 N Roxbury Dr
Beverly Hills, CA 90210-5027
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.