Search › California › 175F00000X
Andrea Mazzola
NPI 1922624113 · on the registry since 2020
Practice
- Address
- 175 Concourse Blvd
Santa Rosa, CA 95403 - Phone
- (707) 284-9200
- Organisation at this address
- Kanani Medical
Charles Robert Pettit Md A Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California