Mackenzie, Richard George
Mackenzie, Richard George is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 2, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mackenzie, Richard George can be contacted via phone (323) 669-2112.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 2
Los Angeles CA 90027-6062
Phone: (323) 669-2112
Fax: (323) 913-3691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A24378 | California |
Profile Details
| NPI number | 1508951427 |
|---|---|
| LBN Legal business name | Mackenzie, Richard George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 15th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508951427 | NPPES |
| California | MEDICAID | 00A243780 | |
| California | Other | 00A243780 G10 |
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