JACK MAZZULO

LOS ANGELES, CA
NPI1518511690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A197603)
Enumeration Date2019-07-28
Last Update Date2025-07-15
Business Address
JACK MAZZULO MD
1200 N STATE ST
LOS ANGELES, CA 90089-1001
Phone number: 704-517-4334
Mailing Address
JACK MAZZULO MD
11296 SE AQUILA ST
HAPPY VALLEY, OR 97086-7670
Phone number: 704-517-4334