Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard E Mack Jr., MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1023225810

Dr. Richard E Mack Jr., MD is a Plastic and Reconstructive Surgery Physician in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16311 Ventura Blvd Ste 1080
Encino, CA 91436-2124
Phone: (818) 501-5073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence G 81683 (CA)

Record details

NPI number1023225810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address16311 Ventura Blvd, Suite 1080, Encino, CA 91436-2124

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