Search › California › 363L00000X
Brian Mack, FNP-C
NPI 1063979128 · on the registry since 2019
Practice
- Address
- 655 Montgomery St Ste 810
San Francisco, CA 94111 - Phone
- (844) 847-8216
- Fax
- (415) 520-9150
- Organisation at this address
- Virta Medical P.C.
Innovative Home Care Inc
Laura Desantis Lpcc Therapy Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 5001 Quincemoor Ct, Greensboro, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207RP1001X
207RS0012X
363LP2300X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-19
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