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Organization
MICHEL J. MAZOUZ, M.D., A MEDICAL CORPORATION
Active
Organization
MICHEL J. MAZOUZ, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL J. MAZOUZ M.D. (PRESIDENT)
(310) 201-0626
Entity
Organization
Contact information
Practice address
1125 S BEVERLY DR, SUITE 730, LOS ANGELES, CA 90035-1148
(310) 201-0626
(310) 277-2852
Mailing address
PO BOX 67218, LOS ANGELES, CA 90067-0218
(310) 201-0626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A44045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A440450
—
CA
Enumeration date
01/24/2007
Last updated
07/14/2015
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