institution
Robert J. Mckenna Jr. Md, A Medical Corporation
Specialist in Los Angeles, California
NPI 1639222565

Robert J. Mckenna Jr. Md, A Medical Corporation is a Specialist based in Los Angeles, CA. Robert J. Mckenna Jr. Md, A Medical Corporation practices in Los Angeles, CA. The NPI Number for Robert J. Mckenna Jr. Md, A Medical Corporation is 1639222565 and holds a License No. G39081 (California).

The current practice location address for Robert J. Mckenna Jr. Md, A Medical Corporation is 8635 W Third Street, Los Angeles, CA and can be reached out via phone at 310-652-0530 and via fax at 310-652-9936.

Location: 8635 W Third Street, Los Angeles, CA, 90048-6101
institution
Provider Profile Details
NPI Number
1639222565
Provider Name
Robert J. Mckenna Jr. Md, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
8635 W Third Street, Los Angeles, CA, 90048-6101
Phone Number
310-652-0530
Fax Number
310-652-9936
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0091070 05 CA
institution
Provider Business Practice Location Address Details
Address
8635 W Third Street
City
State
Zip
90048-6101
Phone Number
310-652-0530
Fax Number
310-652-9936
person
Provider Business Mailing Address Details
Address
8635 W Third Street
City
State
Zip
90048-6101
Phone Number
310-652-0530
Fax Number
310-652-9936
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G39081 (California)
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.
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