Mccloy, Mary Kathleen
Mccloy, Mary Kathleen is an individual health care provider with primary practice located at 200 Medical Plaza #365,420,530,120, Los Angeles CA 90095-5655. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mccloy, Mary Kathleen can be contacted via phone (310) 825-6301.Contact Information
Primary practice address
200 Medical Plaza #365,420,530,120
Los Angeles CA 90095-5655
Phone: (310) 825-6301
Fax: (310) 794-9718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | NP8445 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP8445 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP8445 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN369858 | California |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN369858 | California |
Profile Details
| NPI number | 1669492328 |
|---|---|
| LBN Legal business name | Mccloy, Mary Kathleen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669492328 | NPPES |
| California | MEDICAID | RN3698580 |
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