Individual provider · Type 1 NPI
Richard E. Mack Jr., MD
Plastic and Reconstructive Surgery Physician · Encino, CA
NPI number
1023225810
Active
Practice location
16311 Ventura Blvd, Suite 1080
Encino, CA 91436-2124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G 81683 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1023225810
Richard E. Mack Jr., MD's National Provider Identifier is 1023225810, issued on May 17, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Encino, CA. The record was last updated on Jul 8, 2007.