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

Larry Andrew Clark

Individual provider Surgical Assistant · NPI 1174884456

Larry Andrew Clark is a Surgical Assistant in Beverly Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

435 N Roxbury Dr Ste 100
Beverly Hills, CA 90210-5027
Phone: (310) 855-8058
Fax: (310) 855-8059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 124156 (CA)

Record details

NPI number1174884456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2012
Last updated in NPPESJune 4, 2012
Mailing address435 N Roxbury Dr, Ste 100, Beverly Hills, CA 90210-5027