| K. D. Macknet, M.d., Inc. | |
|
25815 Barton Road Suite 101 Loma Linda CA 92354-3894 | |
| (909) 796-0224 | |
| (909) 796-0225 |
| Full Name | K. D. Macknet, M.d., Inc. |
|---|---|
| Speciality | Dermatology |
| Location | 25815 Barton Road, Loma Linda, California |
| Authorized Official Name and Position | Kenneth D Macknet (VICE PRESIDENT) |
| Authorized Official Contact | 9097960224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K. D. Macknet, M.d., Inc. 25815 Barton Road Suite 101 Loma Linda CA 92354-3894 Ph: (909) 796-0224 | K. D. Macknet, M.d., Inc. 25815 Barton Road Suite 101 Loma Linda CA 92354-3894 Ph: (909) 796-0224 |
| NPI Number | 1083791644 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083791644 | NPI | - | NPPES |
| A63594 | Medicaid | CA | |
| 05D0687031 | Other | CA | CLIA |
| 1083791644 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
Give Something Back Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Rd., Dover Building, Suite D, Loma Linda, CA 92354 Phone: 888-383-9877 | |
Loma Linda Inland Consortium For Healthcare Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Suite 209-b, Loma Linda, CA 92354 Phone: 909-558-6688 | |
Dub Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11332 Mountain View Ave Ste C, Loma Linda, CA 92354 Phone: 909-710-7887 | |
Loma Linda University Physicians Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11375 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2624 Fax: 909-558-3905 | |
Mazna Ahmad Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-478-0078 | |
Tahseen Shareef Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11374 Mountain View Ave Ste A1, Loma Linda, CA 92354 Phone: 909-203-3825 Fax: 909-799-3888 |