Organization
GENEVIEVE A. MACDONALD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE A MACDONALD M.D. (CEO)
(818) 990-0595
Entity
Organization
Contact information
Practice address
16200 VENTURA BLVD, SUITE 309, ENCINO, CA 91436-2205
(818) 990-0595
(818) 990-0553
Mailing address
16200 VENTURA BLVD, SUITE 309, ENCINO, CA 91436-2205
(818) 990-0595
(818) 990-0553
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G16852
CA
Other
Enumeration date
09/06/2013
Last updated
11/23/2013
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