Brandon Mack

Physician Assistant · Fullerton, CA

Individual Active NPI

NPI number 1962045666

Practice location

2575 Yorba Linda Blvd
Fullerton, CA 92831-1699
Phone
(714) 449-7400

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NPI record

NPI
1962045666
Entity type
Individual (Type 1)
Enumeration date
October 25, 2019
Last updated
February 18, 2021
Certified
January 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Brandon Mack

Brandon Mack is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2575 Yorba Linda Blvd, Fullerton, CA 92831-1699. The NPI number 1962045666 was assigned on October 25, 2019 and the record was last updated on February 18, 2021.

Frequently asked questions

What is the NPI number of Brandon Mack?

The NPI number is 1962045666.

What is the phone number of Brandon Mack?

The phone number listed for the practice location is (714) 449-7400.

Where is Brandon Mack located?

2575 Yorba Linda Blvd, Fullerton, CA 92831-1699.

What is the taxonomy code for Brandon Mack?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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