IndividualActive
Damon Clark, MD
NPI 1619138948 · Surgical Critical Care Physician · Los Angeles, CA
Provider details
- NPI number
- 1619138948
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A127296 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1500 San Pablo St Fl 7
Los Angeles, CA 90033-5313
Phone: (323) 442-6254
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31309
Los Angeles, CA 90031-0309
Registry dates
- Enumerated
- 2008-06-19
- Last updated
- 2023-11-27
- Certified
- 2020-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.