Loma Linda Dermatology Medical Group
LBN: K. D. Macknet, M.D., Inc.
Loma Linda Dermatology Medical Group is an health care organization with primary practice located at 25815 Barton Road Suite 101, Loma Linda CA 92354-3894. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
K. D. Macknet, M.D., Inc. can be contacted via phone (909) 796-0224, or through Macknet, Kenneth D via phone (909) 796-0224.
Contact Information
Primary practice address
25815 Barton Road Suite 101
Loma Linda CA 92354-3894
Phone: (909) 796-0224
Fax: (909) 796-0225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1083791644 |
|---|---|
| LBN Legal business name | K. D. Macknet, M.D., Inc. |
| DBA Doing business as | Loma Linda Dermatology Medical Group |
| Authorized official | Macknet, Kenneth D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 16th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083791644 | NPPES |
| California | MEDICAID | A63594 | |
| California | Other | 05D0687031 | |
| California | Other | 1083791644 |
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