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Organization
RICARDO MCKENZIE M.D. INC.
Active
Organization
RICARDO MCKENZIE M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ENRIQUE MCKENZIE M.D. (PRESIDENT)
(310) 604-3456
Entity
Organization
Contact information
Practice address
3680 E IMPERIAL HWY, SUITE 470, LYNWOOD, CA 90262-2659
(310) 604-3456
(310) 605-2678
Mailing address
PO BOX 6815, LAGUNA NIGUEL, CA 92607-6815
(310) 604-3456
(310) 605-2678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A436011
—
CA
Enumeration date
03/01/2008
Last updated
03/01/2008
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