# MCLEAN MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588479216
- **Authorized official:** MICHAEL K MCLEAN MD (PRESIDENT/OWNER)
- **Authorized official phone:** (747) 755-2455

## Contact information

- **Practice address:** 6817 1/2 KESTER AVE, VAN NUYS, CA 91405-3716
- **Practice address phone:** (747) 755-2455
- **Practice address fax:** (747) 755-2452
- **Mailing address:** 6817 1/2 KESTER AVE, VAN NUYS, CA 91405-3716
- **Mailing address phone:** (747) 755-2455
- **Mailing address fax:** (747) 755-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 02/10/2025