| M. Mazen Jamal, M.d., Inc. | |
|
1148 San Bernardino Rd Suite202 Upland CA 91786-4943 | |
| (909) 920-0444 | |
| (909) 920-5044 |
| Full Name | M. Mazen Jamal, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1148 San Bernardino Rd, Upland, California |
| Authorized Official Name and Position | M. Mazen Jamal (PRESIDENT) |
| Authorized Official Contact | 9099200444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Mazen Jamal, M.d., Inc. 1148 San Bernardino Rd Suite202 Upland CA 91786-4943 Ph: (909) 920-0444 | M. Mazen Jamal, M.d., Inc. 1148 San Bernardino Rd Suite202 Upland CA 91786-4943 Ph: (909) 920-0444 |
| NPI Number | 1528398369 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528398369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A46078 (California) | Primary |
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