Abbas, Mazen Issam

Abbas, Mazen Issam is an individual health care provider with primary practice located at 9300 Valley Childrens Pl # Se09 , Madera CA 93636-8761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Abbas, Mazen Issam can be contacted via phone (559) 353-5745.

Contact Information

Primary practice address
9300 Valley Childrens Pl # Se09 Madera CA 93636-8761
Phone: (559) 353-5745
Fax: (559) 353-6093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A14673 California
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 20A14673 California

Profile Details

NPI number 1790775278
LBN Legal business name Abbas, Mazen Issam
Credentials D.O., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 9th, 2020 - about 4 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 1790775278 NPPES
California MEDICAID 1790775278

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