Mackenzie, Cleve S

Mackenzie, Cleve S is an individual health care provider with primary practice located at 18582 Main St Attn: Hana Ayoub, Huntington Beach CA 92648-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mackenzie, Cleve S can be contacted via phone (714) 965-9696.

Contact Information

Primary practice address
18582 Main St Attn: Hana Ayoub Huntington Beach CA 92648-1701
Phone: (714) 965-9696
Fax: (714) 965-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G68752 California

Profile Details

NPI number 1720199706
LBN Legal business name Mackenzie, Cleve S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720199706 NPPES
California MEDICAID 00G687520

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