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Dr. Zoanne A Clack, MD
Specialist in Montebello, California
NPI 1174582399

Zoanne A Clack is a Specialist based in Woodland Hills, CA. Zoanne A Clack practices in Montebello, CA and has the professional credentials of MD. The NPI Number for Zoanne A Clack is 1174582399 and holds a License No. A72372 (California).

The current practice location address for Zoanne A Clack is 309 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-726-1222 and via fax at 818-587-2493.

Location: 309 W Beverly Blvd, Montebello, CA, 91365-4419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174582399
Provider Name
Zoanne A Clack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
309 W Beverly Blvd, Montebello, CA, 91365-4419
Phone Number
323-726-1222
Fax Number
818-587-2493
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A723720 05 CA
institution
Provider Business Practice Location Address Details
Address
309 W Beverly Blvd
City
Montebello
State
California
Zip
90640-4308
Phone Number
323-726-1222
Fax Number
818-587-2493
person
Provider Business Mailing Address Details
Address
309 W Beverly Blvd
City
Montebello
State
California
Zip
90640-4308
Phone Number
323-726-1222
Fax Number
818-587-2493
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A72372 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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