Dr. John C Mazziotta
Neurologist
300 Medical Plz Suite B200
Los Angeles
, California 90095-0001
Dr. John C Mazziotta
Neurologist
300 Medical Plz Suite B200
Los Angeles
, California 90095-0001
(310) 825-2699
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. John C Mazziotta
- 5767 W Century Blvd Suite 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone : (310) 825-2699
Second Address
- Dr. John C Mazziotta
- 300 Medical Plz Suite B200
- Los Angeles, CA
- Zip : 90095-0001
- Phone : (310) 794-1195
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | G37023 | CA |
National Provider Identifier
| NPI | 1033125695 |
|---|---|
| Provider Name | Dr. John C Mazziotta |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 14/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G370230 | (05) | CA |
| A46916 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.