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SUSAN J MACKENSEN M.D.
NPI 1659309896
Pediatrics in Los Angeles, CA

Active since June 28, 2006
1809 PREUSS RD, LOS ANGELES, CA 90035(310) 838-3092(310) 287-0656 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan J Mackensen M.d. NPPES

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

SUSAN J MACKENSEN M.D. (NPI 1659309896) is an individual pediatrics provider in Los Angeles, California, licensed in California (AFE46013) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1659309896
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN J MACKENSENCredential: M.D.
Location Address1809 PREUSS RDLos Angeles, CA 90035-4313
Mailing Address1809 Preuss RdLos Angeles, CA 90035-4313 · (310) 838-3092 · Fax (310) 287-0656
Phone(310) 838-3092
Fax(310) 287-0656
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 24, 2014
✔ NPI 1659309896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · AFE46013
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1809 PREUSS RD, Los Angeles, CA 90035
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Other Identifiers 5

Medicare ID-Type UnspecifiedWA46013ECA
Medicare ID-Type UnspecifiedWA46013ACA
Medicare UPINE93831CA
Medicare ID-Type UnspecifiedWA46013DCA
Medicare ID-Type UnspecifiedWA46013FCA

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 Susan Mackensen's NPI number?

The NPI number for Susan Mackensen is 1659309896. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Susan Mackensen located?

Susan Mackensen practices at 1809 Preuss Rd, Los Angeles, CA 90035. The listed phone number is (310) 838-3092.

What is Susan Mackensen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Susan Mackensen was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.