MARK MCDONALD MD NPI 1114116506

NPI Information

NPI: 1114116506
Provider Name: MARK MCDONALD, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
11500 W OLYMPIC BLVD
SUITE 426
LOS ANGELES, CA
ZIP 90064
Phone: (310) 954-9565
Get Directions

Mark Mcdonald, MD is a child and adolescent psychiatry psychiatry neurology in Los Angeles, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Mark Mcdonald, MD NPI is 1114116506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11500 W OLYMPIC BLVD
SUITE 426
LOS ANGELES, CA
ZIP 90064-524
Phone: (310) 954-9565
Fax: (310) 359-0467

The enumeration date for this NPI number is 10/22/2007 and was last updated on 9/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	A112267	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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