Individual
CLARO MARK ORILLA MABAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
17871 PARK PLAZA DR STE 140, CERRITOS, CA 90703-9500
(855) 427-2778
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017626
CA
Other
Enumeration date
06/23/2021
Last updated
12/13/2023
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