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
Fax: (818) 243-9605
Website:

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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366422685 NPPES
California MEDICAID 00G717520
California Other G71752

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