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

MS. Ida Phae Mack, BA

Individual provider Rehabilitation Practitioner · NPI 1184854788

MS. Ida Phae Mack, BA is a Rehabilitation Practitioner in North Hills, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

15317 Rayen St
North Hills, CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1184854788
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedJuly 17, 2009
Last updated in NPPESJuly 29, 2009
Mailing address15317 Rayen St, North Hills, CA 91343-5117

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