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Organization

JILL MAZZA, M.D., A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL MAZZA MD (PRESIDENT)
(818) 559-9727
Entity
Organization

Contact information

Practice address
191 S BUENA VISTA ST STE 320, BURBANK, CA 91505-4556
(818) 559-9727
Mailing address
191 S BUENA VISTA ST STE 320, BURBANK, CA 91505-4556

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
CA

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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