Organization
DOUGLAS J. MACKENZIE, M.D., INC.
Active
Other names
Pacific Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J. MACKENZIE M.D. (PRESIDENT)
(805) 898-0700
Entity
Organization
Contact information
Practice address
1722 STATE ST, SUITE 102, SANTA BARBARA, CA 93101-2458
(805) 898-0700
(805) 898-0600
Mailing address
1722 STATE ST, SUITE 102, SANTA BARBARA, CA 93101-2458
(805) 898-0700
(805) 898-0600
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A48683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174557623
INDIVIDUAL PROVIDER#
CA
01
—
A48683
CA LICS
CA
Enumeration date
04/19/2007
Last updated
11/30/2016
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