Individual
MARK MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11500 W OLYMPIC BLVD, SUITE 426, LOS ANGELES, CA 90064-1524
(310) 954-9565
(310) 359-0467
Mailing address
11500 W OLYMPIC BLVD, SUITE 426, LOS ANGELES, CA 90064-1524
(310) 954-9565
(310) 359-0467
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A112267
CA
Other
Enumeration date
10/22/2007
Last updated
09/22/2015
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