Mckenzie, John Paul
Mckenzie, John Paul is an individual health care provider with primary practice located at 660 W Broadway , Glendale CA 91204-1008. He 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 his primary health care specialty. Mckenzie, John Paul can be contacted via phone (818) 542-9420.Contact Information
Primary practice address
660 W Broadway
Glendale CA 91204-1008
Phone: (818) 542-9420
Fax: (818) 243-9605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G71752 | California |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | G71752 | California |
Profile Details
NPI number | 1366422685 |
---|---|
LBN Legal business name | Mckenzie, John Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Aug 14th, 2015 - about 9 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 | 1366422685 | NPPES |
California | MEDICAID | 00G717520 | |
California | Other | G71752 |
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