institution
Harry B. Matossian
Ambulatory Surgical Clinic/Center in Ukiah, California
NPI 1003814229

Harry B. Matossian is an Ambulatory Surgical Clinic/Center based in Ukiah, CA and is specialized in Ambulatory Surgical. Harry B. Matossian practices in Ukiah, CA. The NPI Number for Harry B. Matossian is 1003814229 and holds a License No. 1100514 (California).

The current practice location address for Harry B. Matossian is 234 Hospital Dr, Ukiah, CA and can be reached out via phone at 707-462-3190 and via fax at 707-462-4647.

Location: 234 Hospital Dr, Ukiah, CA, 95482-4560
institution
Provider Profile Details
NPI Number
1003814229
Provider Name
Harry B. Matossian
Credential
Provider Entity Type
Organization
Address
234 Hospital Dr, Ukiah, CA, 95482-4560
Phone Number
707-462-3190
Fax Number
707-462-4647
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AS1639 01 CA BLUE CROSS OF CALIFORNIA
05-C0001639 01 CA MEDICARE LICENSE NUMBER
P00117803 01 CA RAILROAD MEDICARE
ZZZH23012 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
234 Hospital Dr
City
State
Zip
95482-4560
Phone Number
707-462-3190
Fax Number
707-462-4647
person
Provider Business Mailing Address Details
Address
234 Hospital Dr
City
State
Zip
95482-4560
Phone Number
707-462-3190
Fax Number
707-462-4647
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1100514 (California)
Definition
Definition to come...
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