Whalio Doctors

NPI 1083988794

Jennifer Makiki Clark, MPHCHES

Practitioner Health Educator Los Angeles, CA

Practice location

Address
5858 Wilshire Blvd STE 300, Los Angeles, CA 90036-4509
Phone
(323) 935-8050
Mailing address
601 S Cloverdale Ave APT 206, Los Angeles, CA 90036-4132

Registered specialties

Health Educator Primary
Other Service Providers Taxonomy 174H00000X Licence 18262 (CA)

Registry record

NPI
1083988794
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Feb 2012
Record last updated
27 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.