Christina Marie Clack
PNP (C) | Nurse Practitioner - Pediatrics
808 W 58th St, Los Angeles
California, 90037-3632
323-541-1600
Christina Marie Clack is a Los Angeles, California based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Christina Marie Clack is 95015295 for Pediatrics in California. Her current practice location is 808 W 58th St, Los Angeles. Patients can reach her at 323-541-1600. Christina Marie Clack is PNP (C) with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1699365601.
Christina Marie Clack specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Christina Marie Clack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Christina Marie Clack |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP (C) |
| Practice Address: | 808 W 58th St, Los Angeles,
California, 90037-3632 |
| Phone: | 323-541-1600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699365601 |
| NPI Enumeration Date: | 23 Jan, 2021 |
| NPI Last Update On: | 17 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christina Marie Clack are as mentioned below.
| License Number | Specialization | State | Status | |
| 95015295 | Pediatrics | California | Primary | |
| 95015295 | Nurse Practitioner | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Christina Marie Clack
3153 Rollings Ave,
Thousand Oaks, California |
| Zip: | 91360-6433 |
| Phone Number: | 805-990-3730 |
Patients can reach Christina Marie Clack at
808 W 58th St, Los Angeles, California or can
call to book an appointment on 323-541-1600.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.