Mazen, Walter Sam

Mazen, Walter Sam is an individual health care provider with primary practice located at 1665 Esplanade , Chico CA 95926-3312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Mazen, Walter Sam can be contacted via phone (530) 895-0423.

Contact Information

Primary practice address
1665 Esplanade Chico CA 95926-3312
Phone: (530) 895-0423
Fax: (530) 895-1872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X G45960 California
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G45960 California

Profile Details

NPI number 1649292624
LBN Legal business name Mazen, Walter Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649292624 NPPES
California MEDICAID GROO43570
California Other G45960

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