Olivia L. Mac, M.D.

Surgery Physician · Wildomar, CA

Individual Active NPI

NPI number 1265886824

Practice location

36320 Inland Valley Dr. #101a
Wildomar, CA 92595-7512
Phone
(951) 698-3000
Fax
(951) 698-7700

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NPI record

NPI
1265886824
Entity type
Individual (Type 1)
Enumeration date
April 20, 2016
Last updated
October 17, 2022
Certified
October 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X A154938 CA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Phone
(951) 698-3000
Fax
(951) 698-7700

Other practice locations (1)

  • 9961 Sierra Ave, Fontana, CA 92335-6720 · (909) 427-5000

About Dr. Mac

Olivia L. Mac, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 36320 Inland Valley Dr. #101a, Wildomar, CA 92595-7512. The NPI number 1265886824 was assigned on April 20, 2016 and the record was last updated on October 17, 2022.

Dr. Mac lists a license in the registry: #A154938 (CA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Olivia L. Mac, M.D.?

The NPI number is 1265886824.

What is the phone number of Dr. Mac?

The phone number listed for the practice location is (951) 698-3000.

Where is Dr. Mac located?

36320 Inland Valley Dr. #101a, Wildomar, CA 92595-7512.

What is the taxonomy code for Dr. Mac?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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