Individual
DR. MAZEN ISSAM ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
9300 VALLEY CHILDRENS PL # SE09, MADERA, CA 93636-8761
(559) 353-5745
(559) 353-6093
Mailing address
1015 AOLOA PL APT 259, KAILUA, HI 96734-5212
(808) 726-6653
(808) 378-7075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A14673
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
20A14673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790775278
—
CA
Enumeration date
10/25/2005
Last updated
10/09/2020
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