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Physician Profile

Jack Mazzulo, MD

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At a glance

About Dr. Mazzulo

Jack Mazzulo, MD practices emergency medicine in Los Angeles, CA. Jack is a 2021 graduate of Oregon Health & Sciences Univ School of Dentistry. The provider's National Provider Identifier (NPI) is 1518511690.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Emergency Medicine (Primary)

Credentials & Licensing

CA · Physician and Surgeon AMedical Board of California
No. 197603CurrentExpires Sep 2028Since 2024
NPINational Provider Identifier
1518511690Issued 2019

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Mazzulo specialize in?

Dr. Mazzulo is an emergency physician in Los Angeles, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Emergency Medicine”.

NPI registry

Where is Dr. Mazzulo located?

Dr. Mazzulo is listed at 1200 N State St, Los Angeles, CA 90089. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Mazzulo's phone number?

The number on file is (704) 517-4334. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Mazzulo's NPI number?

Dr. Mazzulo's National Provider Identifier is 1518511690. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Mazzulo go to medical school?

Dr. Mazzulo attended Oregon Health & Sciences Univ School of Dentistry, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Mazzulo been practicing?

Dr. Mazzulo has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Mazzulo confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Mazzulo. If this is you, claiming it is free.

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