Simon Mak
Day Training/Habilitation Specialist in Diamond Bar, CA. Individual provider (NPI-1).
NPI number1548040751
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1548040751
- Entity type
- Individual (NPI-1)
- Name
- Simon Mak
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2023
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
1148 Seneca PlDiamond Bar, CA 91765-4369
Phone 909-262-9021
Mailing address
1148 Seneca PlDiamond Bar, CA 91765-4369
Phone 909-262-9021
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