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MR. EDDIE SIDNEY MACK SR.
NPI 1184059420
Student in an Organized Health Care Education/Training Program in Pico Rivera, CA

Active since September 05, 2013
9101 WHITTIER BLVD, PICO RIVERA, CA 90660(562) 801-4626 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Eddie Sidney Mack Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDDIE SIDNEY MACK SR. (NPI 1184059420) is an individual student in an organized health care education/training program in Pico Rivera, California and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1184059420
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. EDDIE SIDNEY MACK SR.
Location Address9101 WHITTIER BLVDPico Rivera, CA 90660-2405
Mailing Address9101 Whittier BlvdPico Rivera, CA 90660-2405
Phone(562) 801-4626
Sole ProprietorNo
Enumeration DateSeptember 5, 2013
✔ NPI 1184059420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9101 WHITTIER BLVD, Pico Rivera, CA 90660
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAUL GRACIA HARO MFT INTERN
Marriage & Family Therapist
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
EMILY A VIERRA LMFT
Marriage & Family Therapist
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MS. JABNEEL LEDESMA LOPEZ
Marriage & Family Therapist
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MARTHA ALEXANDRA PEREZ A.A
Rehabilitation Practitioner
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MR. JOSE PASTRANA
Rehabilitation Practitioner
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MARIA DEL CARMEN SOLIS L.C.S.W.
Social Worker (Clinical)
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MS. RONNA CHARISSA TOREJA BANADA LCSW, PPSC
Social Worker (Clinical)
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (526) 801-4626
MS. CYNTHIA MCKINNON
Student in an Organized Health Care Education/Training Program
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626

Frequently Asked Questions

What is Eddie Mack's NPI number?

The NPI number assigned to this healthcare provider is 1184059420, enumerated as an "individual" on September 05, 2013.

Where is the provider located?

The provider is located at 9101 WHITTIER BLVD PICO RIVERA, CA 90660 and the phone number is (562) 801-4626.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.