Individual
DR. JOHN C MAZZIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL PLZ, SUITE B200, LOS ANGELES, CA 90095-0001
(310) 794-1195
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-2699
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G37023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G370230
—
CA
Enumeration date
08/01/2006
Last updated
05/14/2010
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