CHRISTINE MAC NP NPI 1104363720

NPI Information

NPI: 1104363720
Provider Name: CHRISTINE MAC, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RUBEN M RUIZ III MD INC

PECOS Registration: Yes

Address:
11865 FIRESTONE BLVD
NORWALK, CA
ZIP 90650
Phone: (562) 806-1214
Get Directions

Christine Mac, NP is a family nurse practitioner in Norwalk, CA with 9 years of experience. Christine Mac, NP NPI is 1104363720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11865 FIRESTONE BLVD
NORWALK, CA
ZIP 90650-902
Phone: (562) 806-1214
Fax: (562) 806-1218

The NPI 1104363720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 3/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP95004943	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP95004943	OTHER	CALIFORNIA	LICENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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