Robert Micheal Clark
Robert Micheal Clark is a Case Manager/Care Coordinator in Culver City, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1366028300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2021 |
| Last updated in NPPES | March 21, 2021 |
| Certification date | March 21, 2021 |
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4760 Sepulveda Blvd, Culver City, CA 90230-4820 · (213) 390-6612