Individual
DR. CARLOS EDUARDO MAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 739-3890
(805) 347-7697
Mailing address
504 PLAZA DRIVE, SANTA MARIA, CA 93454-6917
(805) 739-3890
(805) 347-7697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42083
MEDICAL LICENSE
CA
Enumeration date
01/09/2007
Last updated
02/15/2016
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