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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184059420

Mr. Eddie Sidney Mack Sr. is a Student in an Organized Health Care Education/Training Program in Pico Rivera, California. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

9101 Whittier Blvd
Pico Rivera, CA 90660-2405
Phone: (562) 801-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184059420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013

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