Individual
JOSEPH DANTE MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(206) 543-6577
Mailing address
41 ANDREAS CIR, NOVATO, CA 94945-1230
(209) 292-1884
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1861134579
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/12/2022
Last updated
07/23/2025
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