# DR. MACK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gynecology Emergent Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902230394
- **Authorized official:** MIRIAM MACKOVIC MD (OWNER)
- **Authorized official phone:** (855) 376-2496

## Contact information

- **Practice address:** 3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
- **Practice address phone:** (855) 376-2496
- **Mailing address:** 3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
- **Mailing address phone:** (855) 376-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013