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MS. IDA PHAE MACK BA
NPI 1184854788
Rehabilitation Practitioner in North Hills, CA

Active since July 17, 2009
15317 RAYEN ST, NORTH HILLS, CA 91343(818) 892-3423(818) 893-4509 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ida Phae Mack Ba NPPES

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

MS. IDA PHAE MACK BA (NPI 1184854788) is an individual rehabilitation practitioner in North Hills, California and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1184854788
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMS. IDA PHAE MACKCredential: BA
Location Address15317 RAYEN STNorth Hills, CA 91343-5117
Mailing Address15317 Rayen StNorth Hills, CA 91343-5117 · (818) 892-3423 · Fax (818) 893-4509
Phone(818) 892-3423
Fax(818) 893-4509
Sole ProprietorYes
Enumeration DateJuly 17, 2009
Last NPPES UpdateJuly 29, 2009
✔ NPI 1184854788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
15317 RAYEN ST, North Hills, CA 91343
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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.

SARAH SCHWARTZ M.S.
Marriage & Family Therapist
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
GERARDO MAJEWSKY
Rehabilitation Practitioner
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
JEREMY BEAU WATSON M.A., MFTI
Marriage & Family Therapist
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
SARA DIANE CHAPPELL IMFT
Marriage & Family Therapist
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 941-2056
JASON GREGORY COBB IMF
Marriage & Family Therapist
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
MS. NICOLE MARIE SCHINDLER
Rehabilitation Practitioner
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
KIMBERLY ANN HIRANO LCSW
Social Worker (Clinical)
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423
MRS. DIANA PATRICIA GAMEROS-BARRIENTOS B.A.
Rehabilitation Practitioner
15317 RAYEN ST
NORTH HILLS, CA 91343
Los Angeles County (818) 892-3423

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 Ida Mack's NPI number?

The NPI number for Ida Mack is 1184854788. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Ida Mack located?

Ida Mack practices at 15317 Rayen St, North Hills, CA 91343. The listed phone number is (818) 892-3423.

What is Ida Mack's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ida Mack was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.