MS. KARLOTTA MAE MCKENZIE


Address: 2500 W Florence Ave, Los Angeles, CA 90043-5144
Phone: 3237786600

MS. KARLOTTA MAE MCKENZIE (NPI# 1841230851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841230851
Entity Type Individual
Full Name MS. KARLOTTA MAE MCKENZIE
Credential P.A.
Practice Address 2500 W Florence Ave
Los Angeles
CA 90043-5144
Mailing Address Po Box 8310
Inglewood
CA 90308-8310
Practice Telephone 3237786600
Practice Fax Number 3237786691
Mailing Telephone 3237786600
Mailing Fax Number 3237786691
Enumeration Date 2006-06-07
Last Update Date 2011-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA 10535 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2500 W FLORENCE AVE
City LOS ANGELES
State CA
Zip Code 90043-5144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346280401 Frederick Nathan Thomas General Practice 2500 W Florence Ave, Los Angeles, CA 90043-5144 2006-06-07
1760699599 Devang M Gandhi Dentist 2500 W Florence Ave, Los Angeles, CA 90043-5144 2007-05-17
1346307477 Devang M.gandhi Dental Corp. Dentist 2500 W Florence Ave, Los Angeles, CA 90043-5144 2007-01-01

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1861743189 Donna M. Tizenor-tate Counselor 5300 Angeles Vista Blvd., Los Angeles, CA 90043 2012-09-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649649443 Thuy Vo Physician Assistant 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 2015-09-22
1649655663 Carlee Ettinger Physician Assistant 2751 Rinconia Dr, Los Angeles, CA 90068-2227 2015-07-21
1841681467 Lauren Layson Physician Assistant 4049 Via Marisol, Los Angeles, CA 90042-5055 2015-02-18
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Competitor

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City LOS ANGELES
Zip Code 90043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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