| Dr Richard E Mack Jr, MD | |
|
16311 Ventura Blvd, Suite 1080, Encino, CA 91436-2124 | |
| (818) 501-5073 | |
| Not Available |
| Full Name | Dr Richard E Mack Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 16311 Ventura Blvd, Encino, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023225810 | NPI | - | NPPES |
| G 81683 | Other | CA | CALIFORNIA MEDICAL LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | G 81683 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard E Mack Jr, MD 16311 Ventura Blvd, Suite 1080, Encino, CA 91436-2124 Ph: (818) 501-5073 | Dr Richard E Mack Jr, MD 16311 Ventura Blvd, Suite 1080, Encino, CA 91436-2124 Ph: (818) 501-5073 |
Shahram Salimitari, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 17609 Ventura Blvd Ste 106, Encino, CA 91316 Phone: 818-774-2755 | |
Dr. Norman Scott Kato, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5535 Balboa Blvd, Suite 112, Encino, CA 91316 Phone: 818-377-3777 Fax: 818-377-3779 | |
Dr. Samuel Kashani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16133 Ventura Blvd, Suite 415, Encino, CA 91436 Phone: 818-804-5177 Fax: 818-787-8249 | |
Mark R Poblete, MD Surgery Medicare: Medicare Enrolled Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Parsa Mohebi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, 313, Encino, CA 91436 Phone: 818-788-8363 Fax: 818-788-8366 | |
Dr. Mohammad Ali Gharavi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 16255 Ventura Blvd, Suite 910, Encino, CA 91436 Phone: 818-990-4600 |