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YASSA PAC LLC
NPI 1962016360
Clinic/Center in Hazel Park, MI

Active since September 02, 2020
624 E 9 MILE RD, HAZEL PARK, MI 48030(248) 629-7497 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2020, Dec 11, 2020, Nov 12, 2020 and 1 more (4 updates tracked since 2020).

About Yassa Pac Llc NPPES

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

YASSA PAC LLC (NPI 1962016360) is a healthcare organization registered as a clinic/center in Hazel Park, Michigan and active in the NPI registry since September 2020. The organization lists Marcos Yassa, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1962016360
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameYASSA PAC LLC
Location Address624 E 9 MILE RDHazel Park, MI 48030-1842
Mailing AddressPo Box 366Hazel Park, MI 48030-0366 · (248) 629-7497
Phone(248) 629-7497
Organization SubpartNo
Authorized OfficialMarcos YassaPa-c · (248) 629-7497
Enumeration DateSeptember 2, 2020
Last NPPES UpdateDecember 16, 20204 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
✔ NPI 1962016360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPhysician AssistantTaxonomy 363A00000X
624 E 9 MILE RD, Hazel Park, MI 48030
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA NURA JACKSON PA-C
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
NEMER HAMAD
Clinical Ethicist
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 677-0638
RAVEN RICHARDSON FNP
Nurse Practitioner (Family)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
PHOENIX REHABILITATION SERVICE
Clinic/Center (Physical Therapy)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (313) 525-5554
DEARBORN PAIN CENTER PLLC
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
JENNIFER SYEDA NP
Nurse Practitioner (Primary Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
MOHAMMED S HAQ MD P C
Family Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 541-2800
HAZEL PARK URGENT CARE PLLC
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 268-2566

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 Yassa Pac LLC's NPI number?

The NPI number for Yassa Pac LLC is 1962016360. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Yassa Pac LLC located?

Yassa Pac LLC is located at 624 E 9 Mile Rd, Hazel Park, MI 48030. The listed phone number is (248) 629-7497.

What is Yassa Pac LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Yassa Pac LLC was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.