ROBERT J. MCKENNA JR. MD, A MEDICAL CORPORATION
NPI 1639222565
Specialist in Los Angeles, CA

Active since January 22, 2007
8635 W THIRD STREET, NO 975W, LOS ANGELES, CA 90048(310) 652-0530(310) 652-9936 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert J. Mckenna Jr. Md, A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J. MCKENNA JR. MD, A MEDICAL CORPORATION (NPI 1639222565) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Robert Joseph Mckenna, Physician, as its authorized official.

NPPES Registry Identity

NPI1639222565
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROBERT J. MCKENNA JR. MD, A MEDICAL CORPORATION
Location Address8635 W THIRD STREET, NO 975WLos Angeles, CA 90048-6101
Mailing Address8635 W Third Street, No 975wLos Angeles, CA 90048-6101 · (310) 652-0530 · Fax (310) 652-9936
Fax(310) 652-9936
Organization SubpartNo
Authorized OfficialRobert Joseph MckennaPhysician · (310) 652-0530
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 11, 2007
NPI 1639222565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G39081
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8635 W THIRD STREET, Los Angeles, CA 90048

Other Identifiers 2

Medicare ID-Type UnspecifiedW15139CA · Medicare Number
MedicaidGR0091070CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
8635 W THIRD STREET, SUITE 360W
LOS ANGELES, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert J. Mckenna Jr. MD, A Medical Corporation's NPI number?

The NPI number for Robert J. Mckenna Jr. MD, A Medical Corporation is 1639222565. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Robert J. Mckenna Jr. MD, A Medical Corporation located?

Robert J. Mckenna Jr. MD, A Medical Corporation is located at 8635 W Third Street No 975W, Los Angeles, CA 90048. The listed phone number is (310) 652-0530.

What is Robert J. Mckenna Jr. MD, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert J. Mckenna Jr. MD, A Medical Corporation was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.