Emergency Medicine
JACK MAZZULO MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1518511690 · enumerated 2019-07-28 · record updated 2025-07-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1200 N STATE ST, LOS ANGELES, CA, 90089-1001 (704) 517-4334 Google Maps Apple Maps OpenStreetMap
- Mailing address 11296 SE AQUILA ST, HAPPY VALLEY, OR, 97086-7670 (704) 517-4334 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · Primary · License A197603 CA
In this directory
Locations and evidence
-
Practice location
LOS ANGELES, CA, 900891001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.