Chad L Clark
CULVER EMERGENCY MEDICAL GROUP


Address: 3828 Delmas Ter, Culver City, CA 90232-2713
Phone: 3102024745

Chad L Clark (NPI# 1023052545, PAC ID# 6901884592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023052545
PAC ID by PECOS 6901884592
Professional Enrollment ID I20040709001264
Full Name Chad L Clark
Organization Legal Name CULVER EMERGENCY MEDICAL GROUP
Address 3828 Delmas Ter
Culver City
CA 90232-2713
Phone Number 3102024745
Gender M
Credential MD
Medical School CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year 1997
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 0244378677
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050135 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
050102 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER

Other Locations

Address Phone Organization
3828 Delmas Ter, Culver City, CA 90232-2713 3102024745 CULVER EMERGENCY MEDICAL GROUP
3865 Jackson St, Riverside, CA 92503-3919 9513525666 RIVERSIDE EMERGENCY PHYSICIANS MEDICAL GROUP

Organization Information

Organization Legal Name CULVER EMERGENCY MEDICAL GROUP
Physicians 11

Physicians with the same organization

Name Specialty Organization Address
William K Fleming Iii Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Brett A Rosen Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Bernard T Mcnamara Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Aminatu J Shehu Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Joshua M Mechanic Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Stephen Carney Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Akash J Mehta Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Harold K Kim Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Yvonne Maywether Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Kim V Fouche Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713

Office Location

Street Address 3828 DELMAS TER
City CULVER CITY
State CA
Zip 90232-2713

Physicians in the same location

Name Specialty Organization Address
William K Fleming Iii Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Brett A Rosen Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
William D Power Pathology Memorial Pathology Medical Group Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Bernard T Mcnamara Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Aminatu J Shehu Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Joshua M Mechanic Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Stephen Carney Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Rajah P Gunawardana Anesthesiology New Line Anesthesia Services Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Marisol G Penichett Pathology Memorial Pathology Medical Group Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Nader M Soliman Anesthesiology Orange Coast Anesthesia Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Heidi Fahringer Optometry 3840 Main St, Culver City, CA 90232-2620
Praveen Gupta Obstetrics/gynecology 9435 Venice Blvd, Culver City, CA 90232-2623
Akash J Mehta Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Amir H Tahernia General Surgery 3828 Delmas Ter, Culver City, CA 90232-2713
Navid Farahmand Anesthesiology Orange Coast Anesthesia Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Harold K Kim Emergency Medicine Culver Emergency Medical Group 3828 Delmas Ter, Culver City, CA 90232-2713
Jonathan E Reitman Internal Medicine 3828 Delmas Ter, Culver City, CA 90232-2713
Anna I Lau Psychologist, Clinical Addis Medical Group A Medical Corporation 3828 Delmas Ter, Culver City, CA 90232-2713
Sonnia Aba Ahinasi Nurse Practitioner Addis Medical Group A Medical Corporation 3828 Delmas Ter, Culver City, CA 90232-2713
Daniel Xue Anesthesiology Orange Coast Anesthesia Inc 3828 Delmas Ter, Culver City, CA 90232-2713
Find all physicians in zip 90232

Competitor

Search similar physicians

City CULVER CITY
Zip Code 90232
Specialty EMERGENCY MEDICINE
City + Specialty CULVER CITY + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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