Thomas Mcculloch Mack, MD, MPH - Preventive Medicine in Los Angeles, CA

Thomas Mcculloch Mack, MD, MPH is a Preventive Medicine - Public Health & General Preventive Medicine physician based in Los Angeles, California. Thomas Mcculloch Mack is licensed to practice in California (license number G11518) and his current practice location is 1441 Eastlake Ave, Rm 4453, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (323) 865-0445.

NPI number for Thomas Mcculloch Mack is 1386912129 and his current mailing address is 1441 Eastlake Ave, Rm 4453, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386912129.

Contact Information

Thomas Mcculloch Mack, MD, MPH
1441 Eastlake Ave, Rm 4453,
Los Angeles, CA 90089-0112
(323) 865-0445
(323) 865-0141

Map and Direction




Physician's Profile

Full NameThomas Mcculloch Mack
GenderMale
SpecialityPreventive Medicine - Public Health & General Preventive Medicine
Location1441 Eastlake Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386912129
  • Provider Enumeration Date: 12/08/2011
  • Last Update Date: 12/08/2011

Medical Identifiers

Medical identifiers for Thomas Mcculloch Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386912129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G11518 (California)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine G11518 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Mcculloch Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Mcculloch Mack, MD, MPH
1441 Eastlake Ave, Rm 4453,
Los Angeles, CA 90089-0112

Ph: (323) 865-0445
Thomas Mcculloch Mack, MD, MPH
1441 Eastlake Ave, Rm 4453,
Los Angeles, CA 90089-0112

Ph: (323) 865-0445

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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