Individual
JORGE R MAZLUMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1690 BARTON RD STE 104, REDLANDS, CA 92373-4230
(909) 335-0200
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A32277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A322770
—
CA
Enumeration date
05/23/2006
Last updated
07/21/2022
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