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FREDERICK RUEL MACK
NPI 1558994418
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since February 19, 2020
4445 BURNS AVE, LOS ANGELES, CA 90029(323) 664-8969 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick Ruel Mack NPPES

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

FREDERICK RUEL MACK (NPI 1558994418) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1558994418
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameFREDERICK RUEL MACK
Location Address4445 BURNS AVELos Angeles, CA 90029-2702
Mailing Address4445 Burns AveLos Angeles, CA 90029-2702 · (323) 664-8969
Phone(323) 664-8969
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
✔ NPI 1558994418 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
4445 BURNS AVE, Los Angeles, CA 90029
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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.

NEYSON CRUZ
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (818) 985-8323
MELWIDA BRYANT
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 664-8940
PHILLIP CASTELLANO
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1440
QAYYUM ABDULMALIK
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1440
FRANCISCO MENDOZA
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1440
ROXANA ACEITUNO
Licensed Vocational Nurse
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1440
JESUS HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1400
JUAN PEDRO NAVARRETE
Counselor (Addiction (Substance Use Disorder))
4445 BURNS AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 222-1400

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 Frederick Mack's NPI number?

The NPI number for Frederick Mack is 1558994418. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Frederick Mack located?

Frederick Mack practices at 4445 Burns Ave, Los Angeles, CA 90029. The listed phone number is (323) 664-8969.

What is Frederick Mack'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 Frederick Mack was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.