Provider Demographics
NPI:1902442171
Name:JOSEPHINE MCNARY MD, INC.
Entity Type:Organization
Organization Name:JOSEPHINE MCNARY MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCNARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-935-0754
Mailing Address - Street 1:2444 WILSHIRE BLVD
Mailing Address - Street 2:STE 414
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5811
Mailing Address - Country:US
Mailing Address - Phone:310-935-0754
Mailing Address - Fax:310-620-9539
Practice Address - Street 1:2444 WILSHIRE BLVD
Practice Address - Street 2:STE 414
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5811
Practice Address - Country:US
Practice Address - Phone:310-935-0754
Practice Address - Fax:310-620-9539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty