Clark, Khyristienne
Clark, Khyristienne is an sole proprietor health care provider with primary practice located at 11301 Wilshire Blvd Bldg 304 , Los Angeles CA 90073-1003. She recently has only one registered license in Eye and Vision Services Providers / Optometric Technician, which is considered as her primary health care specialty. Clark, Khyristienne can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
11301 Wilshire Blvd Bldg 304
Los Angeles CA 90073-1003
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometric Technician | 156FX1202X | California |
Profile Details
| NPI number | 1881574382 |
|---|---|
| LBN Legal business name | Clark, Khyristienne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2025 |
| Last updated | Sep 4th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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