Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mack Medical Management Corporation

Organization Vascular Surgery Physician · NPI 1417654013

Mack Medical Management Corporation provides Vascular Surgery Physician services in Visalia, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

820 S Akers St Ste 120
Visalia, CA 93277-8306
Phone: (559) 365-7147
Fax: (559) 625-6004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1417654013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lamar Mack — Ceo · (559) 624-6520
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address2423 W Green Acres Dr, Visalia, CA 93291-4342

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