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DR. GWEN MAZOUJIAN M.D. NPI 1669492120


NPI Information

NPI: 1669492120
Provider Name: DR. GWEN MAZOUJIAN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3301 C ST
SUITE #200-E
SACRAMENTO, CA
ZIP 95816
Phone: (916) 447-6267
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DR. Gwen Mazoujian, M.D. is a specialist in Sacramento, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Gwen Mazoujian, M.D. NPI is 1669492120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3301 C ST
SUITE #200-E
SACRAMENTO, CA
ZIP 95816-300
Phone: (916) 447-6267
Fax: (916) 447-0621

The NPI 1669492120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG70350CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G703500MEDICARE UPINCALIFORNIA
2A12203MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G703500MEDICAIDCALIFORNIA
400G703501MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.