Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yassa PAC LLC

Organization Clinic/Center · NPI 1962016360

Yassa PAC LLC is a Clinic/Center in Hazel Park, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone: (248) 629-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1962016360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcos Yassa — Pa-C · (248) 629-7497
NPI enumeratedSeptember 2, 2020
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing addressPo Box 366, Hazel Park, MI 48030-0366

Other providers in Hazel Park