M. Mazen Jamal
Gastroenterologist
2097 Compton Ave Ste 103
Corona
, California 92881-7289
M. Mazen Jamal
Gastroenterologist
2097 Compton Ave Ste 103
Corona
, California 92881-7289
(949) 825-5189
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- M. Mazen Jamal
- 29 Praire
- Irvin, CA
- Zip : 92618
- Fax : (949) 825-5189
- Phone : (949) 813-5115
Second Address
- M. Mazen Jamal
- 2097 Compton Ave Ste 103
- Corona, CA
- Zip : 92881-7289
- Fax : (951) 444-7749
- Phone : (951) 934-0505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 12734 | NV |
| Y | 207RG0100X | Gastroenterologist | A46078 | CA |
National Provider Identifier
| NPI | 1003916727 |
|---|---|
| Provider Name | M. Mazen Jamal |
| First Address | Irvin, CA 92618 |
| Second Address | Corona, CA 92881-7289 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2006 |
| Last Update Date | 24/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A03734 | (02) | CA |
| WA46078A | PPIN (01) | 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.