Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khyristienne Clark

Individual provider Optometric Technician · NPI 1881574382

Khyristienne Clark is an Optometric Technician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

11301 Wilshire Blvd Bldg 304
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometric Technician (primary) Taxonomy 156FX1202X (CA)

Record details

NPI number1881574382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address9636 S Harvard Blvd, Los Angeles, CA 90047-3814