Mccloy, Ellen Mackenzie
Mccloy, Ellen Mackenzie is an individual health care provider with primary practice located at 4650 W Sunset Blvd # 40 , Los Angeles CA 90027-6062. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Mccloy, Ellen Mackenzie can be contacted via phone (323) 361-6471.Contact Information
Primary practice address
4650 W Sunset Blvd # 40
Los Angeles CA 90027-6062
Phone: (323) 361-6471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X |
Profile Details
| NPI number | 1033630132 |
|---|---|
| LBN Legal business name | Mccloy, Ellen Mackenzie |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Jun 29th, 2017 - about 9 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 | 1033630132 | NPPES |
| Other | 1075515 | REGISTERED DIETITIAN |
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