Harry B. Matossian in Ukiah - Ambulatory Surgical

Harry B. Matossian - NPI 1003814229

Harry B. Matossian is a Ambulatory Surgical in Ukiah, California. Harry B. Matossian practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Harry B. Matossian is 1003814229. The last update date is 2014-09-23.

Harry B. Matossian's current location address is 234 Hospital Dr, Ukiah, California. You can contact this provider via phone number 7074623190 and fax number 7074624647. The mailing address for Harry B. Matossian is 234 Hospital Dr, Ukiah, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Harry B. Matossian
Address 234 Hospital Dr, Ukiah, California
Phone Number 7074623190
Fax Number 7074624647
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Matossian Berj Harry
Credentials M.D.
Telephone Number 7074623190

NPI Number Detail

NPI Number 1003814229
Provider Enumeration Date 2005-07-12
Last Updated Date 2014-09-23

Provider Mailing Address Detail

Address 234 Hospital Dr
City Ukiah
State California (CA)
Post Code 954824560
Phone Number 7074623190
Fax Number 7074624647

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 1100514
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AS1639 CA BLUE CROSS OF CALIFORNIA
05-C0001639 CA MEDICARE LICENSE NUMBER
P00117803 CA RAILROAD MEDICARE
ZZZH23012 CA BLUE SHIELD OF CALIFORNIA

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FAQs about Harry B. Matossian

What is the unique 10-digit identifier code issued to Harry B. Matossian by the Centers for Medicare & Medicaid Services?

The Harry B. Matossian has been assigned the NPI (National Provider Identifier) 1003814229 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Harry B. Matossian?

The Harry B. Matossian is physically situated at 234 Hospital Dr, in the city of Ukiah, state of CA, with the postal code 954824560.

What is the area of specialization for Harry B. Matossian, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Harry B. Matossian is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.

On what date did Harry B. Matossian receive its 1003814229 assignment from the Centers for Medicare & Medicaid Services?

The Harry B. Matossian was assigned its 1003814229 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Harry B. Matossian, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Harry B. Matossian, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-09-23.

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