Provider Demographics
NPI:1316429244
Name:MACLEAN, NATALIE (MD, MSC, FRCPC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:MACLEAN
Suffix:
Gender:F
Credentials:MD, MSC, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 SAXONY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2787
Mailing Address - Country:US
Mailing Address - Phone:760-753-7374
Mailing Address - Fax:760-753-0110
Practice Address - Street 1:345 SAXONY RD STE 105
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:760-753-7374
Practice Address - Fax:760-753-0110
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ019636207R00000X, 207RR0500X
CAA157760207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine