Provider Demographics
NPI:1891830121
Name:FRANK, CLARE (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 FOREST LAWN DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1046
Mailing Address - Country:US
Mailing Address - Phone:323-851-7876
Mailing Address - Fax:
Practice Address - Street 1:6711 FOREST LAWN DR
Practice Address - Street 2:SUITE 104
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1046
Practice Address - Country:US
Practice Address - Phone:323-851-7876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT131992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT13199AMedicare ID - Type UnspecifiedPPIN