person
Dr. Richard E Mack JR., MD
Plastic and Reconstructive Surgery Physician in Encino, California
NPI 1023225810

Richard E Mack JR. is a Plastic and Reconstructive Surgery Physician based in Encino, CA and is specialized in Plastic and Reconstructive Surgery. Richard E Mack JR. practices in Encino, CA and has the professional credentials of MD. The NPI Number for Richard E Mack JR. is 1023225810 and holds a License No. G 81683 (California).

The current practice location address for Richard E Mack JR. is 16311 Ventura Blvd, Encino, CA and can be reached out via phone at 818-501-5073.

Location: 16311 Ventura Blvd, Encino, CA, 91436-2124
person
Provider Profile Details
NPI Number
1023225810
Provider Name
Richard E Mack JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16311 Ventura Blvd, Encino, CA, 91436-2124
Phone Number
818-501-5073
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G 81683 01 CA CALIFORNIA MEDICAL LICENS
institution
Provider Business Practice Location Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-501-5073
Fax Number
person
Provider Business Mailing Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-501-5073
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
G 81683 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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