Individual
CAMERON MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 WILSHIRE BLVD FL 1, SANTA MONICA, CA 90401-1854
(310) 829-8945
Mailing address
52 BAROLO, RANCHO MIRAGE, CA 92270-5650
(650) 346-7440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN306180
GA
363L00000X
Nurse Practitioner
Primary
95024133
CA
Other
Enumeration date
05/18/2022
Last updated
11/07/2023
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