Individual
DR. WALTER SAM MAZEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
G45960
CA
207VX0000X
Obstetrics Physician
Primary
G45960
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G45960
CALIFORNIA STATE LICENSE
CA
05
—
GROO43570
—
CA
Enumeration date
07/25/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up