# MAZOLEWSKI OC MEDICAL PC

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

## Provider details

- **NPI number:** 1841581162
- **Authorized official:** PETER MAZOLEWSKI M.D. (VICE PRESIDENT)
- **Authorized official phone:** (949) 481-8282

## Contact information

- **Practice address:** 31461 RANCHO VIEJO RD, STE 103, SAN JUAN CAPISTRANO, CA 92675-1864
- **Practice address phone:** (949) 481-8282
- **Practice address fax:** (949) 218-6303
- **Mailing address:** 31461 RANCHO VIEJO RD, STE 103, SAN JUAN CAPISTRANO, CA 92675-1864
- **Mailing address phone:** (949) 481-8282
- **Mailing address fax:** (949) 218-6303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A84094 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011