Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurence J Mazzotta, MD

Individual provider Gastroenterology Physician · NPI 1790740546

Laurence J Mazzotta, MD is a Gastroenterology Physician in Vallejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

480 Redwood St Ste 14
Vallejo, CA 94590-2958
Phone: (707) 648-3327
Fax: (707) 648-3902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence G28907 (CA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 628907 (CA)

Record details

NPI number1790740546
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2006
Last updated in NPPESJune 22, 2010
Mailing address480 Redwood St., Ste. 14, Vallejo, CA 94590-2958

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