Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD E MACK JR., M.D.
Active Sole ProprietorDR. RICHARD E MACK JR., M.D. is a Plastic and Reconstructive Surgery healthcare provider located in ENCINO, California. NPI 1023225810 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · ENCINO, CA
Registration Details
- NPI Number
- 1023225810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2007 (19.265270631966 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G 81683 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16311 VENTURA BLVDSUITE 1080ENCINO, CA, 914362124Browse CA providers · Browse ZIP 91436
- Phone
- 8185015073
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in ENCINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GENEVIEVE A MACDONALD | MD | 1780740993 |
| DR. SEPIDEH SABER | M.D. | 1285917047 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.