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INGGA SUBUR MAC RADT
NPI 1508540923
Counselor - Addiction (Substance Use Disorder) in Trabuco Canyon, CA

Active since June 14, 2023
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679(818) 582-8832(818) 582-8836 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ingga Subur Mac Radt NPPES

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

INGGA SUBUR MAC RADT (NPI 1508540923) is an individual addiction (substance use disorder) provider in Trabuco Canyon, California, licensed in California (R1497000223) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1508540923
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameINGGA SUBUR MACCredential: RADT
Location Address20331 FLANAGAN ROADTrabuco Canyon, CA 92679
Mailing Address1225 W Myrtle StSanta Ana, CA 92703-4510 · (714) 468-8878
Phone(818) 582-8832
Fax(818) 582-8836
Sole ProprietorNo
Enumeration DateJune 14, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1508540923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1497000223
20331 FLANAGAN ROAD, Trabuco Canyon, CA 92679
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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.

MS. JOHN PAUL ZUNIGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. GINA REIGH FRAGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
LYNN MARIE NYHUS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
KELSEY FREDENBERG
Social Worker
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. YOLITA HENDRICKS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
DAISY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
ATLANTA DANIELLE ST.MARTIN RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MYKAYLA SWANSON
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832

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 Ingga Mac's NPI number?

The NPI number for Ingga Mac is 1508540923. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Ingga Mac located?

Ingga Mac practices at 20331 Flanagan Road, Trabuco Canyon, CA 92679. The listed phone number is (818) 582-8832.

What is Ingga Mac's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ingga Mac was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.