Individual
MICHAEL MAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD, SUITE 220, SANTA MONICA, CA 90404-2023
(310) 582-6220
(310) 582-6222
Mailing address
5767 W CENTURY BLVD, 200, LOS ANGELES, CA 90045-5632
(310) 582-6220
(310) 582-6222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A102139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1021390
—
CA
Enumeration date
06/30/2008
Last updated
03/29/2010
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