# MARK H MAZUR MD & BARRY STATNER MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376631341
- **Authorized official:** MARK H MAZUR MD (PRESIDENT)
- **Authorized official phone:** (805) 495-1073

## Contact information

- **Practice address:** 375 ROLLING OAKS DR STE 210, THOUSAND OAKS, CA 91361-1028
- **Practice address phone:** (805) 495-1073
- **Practice address fax:** (805) 495-5836
- **Mailing address:** 2220 LYNN RD, SUITE 301, THOUSAND OAKS, CA 91360-8005
- **Mailing address phone:** (805) 495-1073
- **Mailing address fax:** (805) 495-5836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 07/30/2025