Robert J. Mckenna Jr. Md, A Medical Corporation in Los Angeles - Specialist

Robert J. Mckenna Jr. Md, A Medical Corporation - NPI 1639222565

Robert J. Mckenna Jr. Md, A Medical Corporation is a Specialist in Los Angeles, California. Robert J. Mckenna Jr. Md, A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert J. Mckenna Jr. Md, A Medical Corporation is 1639222565. The last update date is 2007-10-11.

Robert J. Mckenna Jr. Md, A Medical Corporation's current location address is 8635 W Third Street, Los Angeles, California. You can contact this provider via phone number 3106520530 and fax number 3106529936. The mailing address for Robert J. Mckenna Jr. Md, A Medical Corporation is 8635 W Third Street, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert J. Mckenna Jr. Md, A Medical Corporation
Address 8635 W Third Street, Los Angeles, California
Phone Number 3106520530
Fax Number 3106529936
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Mckenna Joseph Robert
Credentials MD
Telephone Number 3106520530

NPI Number Detail

NPI Number 1639222565
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-10-11

Provider Mailing Address Detail

Address 8635 W Third Street
City Los Angeles
State California (CA)
Post Code 900486101
Phone Number 3106520530
Fax Number 3106529936

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G39081
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0091070 CA --

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FAQs about Robert J. Mckenna Jr. Md, A Medical Corporation

What is the unique provider identifier assigned to Robert J. Mckenna Jr. Md, A Medical Corporation?

The Robert J. Mckenna Jr. Md, A Medical Corporation has been issued the NPI (National Provider Identifier) 1639222565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Robert J. Mckenna Jr. Md, A Medical Corporation is located?

The Robert J. Mckenna Jr. Md, A Medical Corporation is situated at the following address: 8635 W Third Street, Los Angeles, CA, 900486101.

What is the area of specialization for Robert J. Mckenna Jr. Md, A Medical Corporation, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert J. Mckenna Jr. Md, A Medical Corporation is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639222565 to Robert J. Mckenna Jr. Md, A Medical Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1639222565 to Robert J. Mckenna Jr. Md, A Medical Corporation on 2007-01-22.

As of what date were the details pertaining to Robert J. Mckenna Jr. Md, A Medical Corporation last refreshed?

The information related to the Robert J. Mckenna Jr. Md, A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2007-10-11.

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