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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: August 16, 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.

BRIANA SANCHEZ
Social Worker (Clinical)
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MS. CRISTINA ISELA GONZALEZ
Rehabilitation Practitioner
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
CLAUDIA LISETTE CELEDON MSW INTERN
Student in an Organized Health Care Education/Training Program
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MARIA SIERRA
Rehabilitation Practitioner
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
JESSICA PAYAN PSYCH TECH
Licensed Psychiatric Technician
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626
MS. JOANA DURAN MSWI
Student in an Organized Health Care Education/Training Program
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (561) 801-4626
STEPHANIE ANDREA SORTO
Marriage & Family Therapist
9101 WHITTIER BLVD
PICO RIVERA, CA 90660
Los Angeles County (562) 801-4626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Mack's NPI number?

The NPI number for Eddie Mack is 1184059420. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Eddie Mack located?

Eddie Mack practices at 9101 Whittier Blvd, Pico Rivera, CA 90660. The listed phone number is (562) 801-4626.

What is Eddie Mack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eddie Mack was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.