Mackenzie, Joan H

Mackenzie, Joan H is an individual health care provider with primary practice located at 2850 Artesia Blvd Suite 209 Joan H Mackenzie Md, Redondo Beach CA 90278-3413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mackenzie, Joan H can be contacted via phone (310) 542-8946.

Contact Information

Primary practice address
2850 Artesia Blvd Suite 209 Joan H Mackenzie Md Redondo Beach CA 90278-3413
Phone: (310) 542-8946
Fax: (310) 375-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00G121530 California

Profile Details

NPI number 1962530063
LBN Legal business name Mackenzie, Joan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962530063 NPPES
California MEDICAID 00G121530

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