Healthcare Provider Details

I. General information

NPI: 1992833784
Provider Name (Legal Business Name): JANET SUZANNE ARNOLD-CLARK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET SUZANNE ARNOLD M.D.

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 E 120TH ST
LOS ANGELES CA
90059-3026
US

IV. Provider business mailing address

PO BOX 1924
MONROVIA CA
91017-5924
US

V. Phone/Fax

Practice location:
  • Phone: 424-338-2900
  • Fax: 310-668-5394
Mailing address:
  • Phone: 323-226-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG078062
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License NumberG78062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: