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MELISSA MACK
NPI 1366880718
Rehabilitation Practitioner in Covina, CA

Active since June 07, 2013
1126 N GRAND AVE, COVINA, CA 91724(626) 967-1667 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Mack NPPES

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

MELISSA MACK (NPI 1366880718) is an individual rehabilitation practitioner in Covina, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1366880718
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMELISSA MACK
Location Address1126 N GRAND AVECovina, CA 91724-1551
Mailing Address2165 Raymond Ave, Apt #3Altadena, CA 91001-5701 · (626) 644-8440
Phone(626) 967-1667
Sole ProprietorYes
Enumeration DateJune 7, 2013
✔ NPI 1366880718 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.
1126 N GRAND AVE, Covina, CA 91724
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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.

ANNA ESQUIVEZ
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
NATASHA THOMPSON I
Case Manager/Care Coordinator
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
MR. CARSON DEMETRUIS BROOKS II
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
ALISHA PLUM
Day Training/Habilitation Specialist
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
JEZZHABEL APPARCEL
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
LOK TAM LCSW
Social Worker (Clinical)
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
MS. KIMBERLY A. MOORE ACSW
Counselor (Mental Health)
1126 N GRAND AVE, SUITE D
COVINA, CA 91724
Los Angeles County (626) 967-1667
JASMINE LAGUNAS
Rehabilitation Practitioner
1126 N GRAND AVE, STE. D
COVINA, CA 91724
Los Angeles County (626) 967-1667

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 Melissa Mack's NPI number?

The NPI number for Melissa Mack is 1366880718. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Melissa Mack located?

Melissa Mack practices at 1126 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 967-1667.

What is Melissa 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 Melissa Mack was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.