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Contact Information

DAILLY A MACK, CPO
23961 CALLE DE LA MAGDALENA STE 115
LAGUNA HILLS, CA92653-3616
 Phone: 949-581-3890
 Fax: 949-581-6067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for DAILLY A MACK · (Female)

NPI # 1831028067
Status Active
Credentials CPO
Entity Individual
Enumeration date 05/14/2026
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • CA License # 5699
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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