Individual
DR. RICHARD E MACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD, SUITE 1080, ENCINO, CA 91436-2124
(818) 501-5073
Mailing address
16311 VENTURA BLVD, SUITE 1080, ENCINO, CA 91436-2124
(818) 501-5073
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G 81683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 81683
CALIFORNIA MEDICAL LICENS
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us