Individual
M. MAZEN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2097 COMPTON AVE STE 103, CORONA, CA 92881-7289
(951) 934-0505
(951) 444-7749
Mailing address
29 PRAIRE, IRVIN, CA 92618
(949) 813-5115
(949) 825-5189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
12734
NV
207RG0100X
Gastroenterology Physician
Primary
A46078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA46078A
PPIN
CA
Enumeration date
09/23/2006
Last updated
06/24/2021
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