DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODORE M. MAZER, M.D.

Deactivated Sole Proprietor

Otolaryngology · SAN DIEGO, CA

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1598768327
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (0.81369863013699 yrs)
Last Updated
Feb 19, 2020
Deactivated
Mar 17, 2006
License
A43828 (CA)
Sole Proprietor
Yes

Practice Information

Address
6699 ALVARADO RD
STE 2209
SAN DIEGO, CA, 921205240
Browse CA providers · Browse ZIP 92120
Phone
6195838990
Fax
6192651114
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in SAN DIEGO, CA

Name Credential NPI
JAMES ESTES BUSH MD 1932108867
DR. KEVIN THOMAS BRUMUND MD 1033193669
MICHAEL RAY HOLTEL M.D. 1073584397
DR. QUYEN T. NGUYEN M.D. 1477524452
DR. ALEXANDER STEWART MD 1093788226
KEITH A JACKSON MD 1124091970
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.