MS. IDA PHAE MACK BA NPI 1184854788

NPI Information

NPI: 1184854788
Provider Name: MS. IDA PHAE MACK, BA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
15317 RAYEN ST
NORTH HILLS, CA
ZIP 91343
Phone: (818) 892-3423
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MS. Ida Phae Mack, BA is a rehabilitation practitioner in North Hills, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MS. Ida Phae Mack, BA NPI is 1184854788. 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:

15317 RAYEN ST
NORTH HILLS, CA
ZIP 91343-117
Phone: (818) 892-3423
Fax: (818) 893-4509

The enumeration date for this NPI number is 7/17/2009 and was last updated on 7/29/2009.

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	225400000X	Rehabilitation Practitioner				Yes

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: 5/5/2024

NPI Synchronization or Removal

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