SearchCalifornia225700000X

Mack Mccoy

NPI 1679248082 · on the registry since 2021 · sole proprietor

Practice

Address
2 Wharton Ct
Irvine, CA 92617
Phone
(949) 371-6225

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California