Larry A Mazzola

NPI 1154504637 - Case Management - 251B00000X

NPI Details
NPI 1154504637
Gender Male
Enumeration Date 12/07/2007
Last Updated 12/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
42011 4TH STREET WEST
SUITE 1900
LANCASTER CA, 93534, US
Phone (661) 974-7600
Fax (661) 974-7055
Business Location
9150 EAST IMPERIAL HIGHWAY
ROOM P31
DOWNEY CA, 90242, US
Phone (562) 940-3694
Fax (562) 658-4725
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Mr. Larry A Mazzola NPI is 1154504637, taxonomy code is 251B00000X Larry A Mazzola physically located at 42011 4th Street West, Lancaster CA, 93534. NPI Number Larry A Mazzola has the Individual type.

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1154504637 NPI number is provided on an as is basis without warranty of any kind. 1154504637 is maintained by the National Plan & Provider Enumeration System. The contents of Larry A Mazzola are for informational purposes only.