Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A86201 | CA |
N | 111NI0900X | Internist | A86201 | CA |
Y | 207RH0003X | Hematology & Oncology | A86201 | CA |
NPI | 1043287378 |
---|---|
Provider Name | Dr. Sam Mazj |
First Address | Chico, CA 95926-2273 |
Second Address | Chico, CA 95926-2273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2006 |
Last Update Date | 20/01/2009 |