Nurse Practitioner, Pediatrics
CHRISTINA CLACK PNP (c)
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699365601 · enumerated 2021-01-23 · record updated 2025-07-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 808 W 58TH ST, LOS ANGELES, CA, 90037-3632 (323) 541-1600 Google Maps Apple Maps OpenStreetMap
- Mailing address 3153 ROLLINGS AVE, THOUSAND OAKS, CA, 91360-6433 (805) 990-3730 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 95015295 CA
- Nurse Practitioner 363L00000X · License 95015295 CA
In this directory
CA Los Angeles County Los Angeles Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
LOS ANGELES, CA, 900373632
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.