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Organization
MATIAN MEDICAL CORP
Active
Organization
MATIAN MEDICAL CORP
Active
Other names
Prime Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARASH DAVID MATIAN D.O. (MEDICAL DIRECTOR, PRESIDENT)
(818) 995-7784
Entity
Organization
Contact information
Practice address
13425 VENTURA BLVD, SUITE 102, SHERMAN OAKS, CA 91423-3974
(818) 995-7784
(818) 995-7786
Mailing address
13425 VENTURA BLVD, SUITE 102, SHERMAN OAKS, CA 91423-3974
(818) 995-7784
(818) 995-7786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX78410
MEDI-CAL
CA
Enumeration date
08/31/2006
Last updated
08/02/2022
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