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

Richard Wayne Clark, MD

Individual provider Otolaryngology Physician · NPI 1073554242

Richard Wayne Clark, MD is an Otolaryngology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Phone: (213) 977-1215
Fax: (213) 977-0404
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G23111 (CA)

Record details

NPI number1073554242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 6, 2011

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