| Mazzy Development Center | |
|
23792 Rockfield Blvd Ste 230 Lake Forest CA 92630-2872 | |
| (949) 322-1202 | |
| Not Available |
| Full Name | Mazzy Development Center |
|---|---|
| Speciality | Clinic/center |
| Location | 23792 Rockfield Blvd Ste 230, Lake Forest, California |
| Authorized Official Name and Position | Metra Azar-salem (OFFICER) |
| Authorized Official Contact | 9493221202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazzy Development Center 25351 Hillary Ln Laguna Hills CA 92653-5216 Ph: (949) 322-1202 | Mazzy Development Center 23792 Rockfield Blvd Ste 230 Lake Forest CA 92630-2872 Ph: (949) 322-1202 |
| NPI Number | 1912751231 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912751231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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