Richard E Mack in Encino - Plastic And Reconstructive Surgery
Richard E Mack - NPI 1023225810
Richard E Mack is a Plastic And Reconstructive Surgery in Encino, California. Richard E Mack practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Richard E Mack is 1023225810. The last update date is 2007-07-08.
Richard E Mack's current location address is 16311 Ventura Blvd, Encino, California. You can contact this provider via phone number 8185015073. The mailing address for Richard E Mack is 16311 Ventura Blvd, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard E Mack |
|---|---|
| Address | 16311 Ventura Blvd, Encino, California |
| Phone Number | 8185015073 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023225810 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16311 Ventura Blvd |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 914362124 |
| Phone Number | 8185015073 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | G 81683 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G 81683 | CA | CALIFORNIA MEDICAL LICENS |
Post Comment/ Review Below
What is the Richard E Mack's 1023225810?
The Richard E Mack's NPI (National Provider Identifier) Number is 1023225810. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Richard E Mack is geographically located?
The Richard E Mack is physically situated at the following location: 16311 Ventura Blvd, Encino, CA, 914362124.
What is the area of specialization for Richard E Mack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard E Mack is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
On what date did Richard E Mack receive its 1023225810 assignment from the Centers for Medicare & Medicaid Services?
The Richard E Mack was assigned its 1023225810 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Richard E Mack most recently updated or refreshed?
The details pertaining to the Richard E Mack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.