=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497616726
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAZZEO MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2025
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1801 16TH ST STE C
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-5037
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-428-2875
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1005 TERMINAL WAY STE 100
-----------------------------------------------------
City | RENO
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89502-2179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-428-2875
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | ARMI LYNN MAZZEO
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 661-428-2875
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------