John P Mckenzie Iii M D Inc

LBN: John P Mckenzie Iii M D Inc
John P Mckenzie Iii M D Inc is an health care organization with primary practice located at 660 W Broadway , Glendale CA 91204-1008. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is the primary health care specialty. John P Mckenzie Iii M D Inc can be contacted via phone (818) 502-9420, or through Mckenzie, John Paul via phone (818) 502-9420.

Contact Information

Primary practice address
660 W Broadway Glendale CA 91204-1008
Fax: (818) 243-9605
Website:
Authorized official contact:
Name: Mckenzie, John Paul Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G71752 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X G71752 California

Profile Details

NPI number 1316982762
LBN Legal business name John P Mckenzie Iii M D Inc
DBA Doing business as
Authorized official Mckenzie, John Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jun 30th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316982762 NPPES
California MEDICAID 00G717520

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