Brandon Mack
Brandon Mack is a Physician Assistant in Fullerton, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2575 Yorba Linda BlvdFullerton, CA 92831-1699
Phone: (714) 449-7400
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1962045666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 25, 2019 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 2575 Yorba Linda Blvd, Fullerton, CA 92831-1699 |
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