Provider Demographics
NPI:1790976892
Name:MAZONE, CHADWICK JASON (BACHELOR OF SCIENCE)
Entity Type:Individual
Prefix:MRS
First Name:CHADWICK
Middle Name:JASON
Last Name:MAZONE
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Gender:M
Credentials:BACHELOR OF SCIENCE
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Mailing Address - Street 1:100 E VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1321
Mailing Address - Country:US
Mailing Address - Phone:714-680-9000
Mailing Address - Fax:714-449-2149
Practice Address - Street 1:801 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3839
Practice Address - Country:US
Practice Address - Phone:714-680-8265
Practice Address - Fax:714-680-8207
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2013-05-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner