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Organization
MICHAEL A MATTES, DPM A PROF CORP
Active
Organization
MICHAEL A MATTES, DPM A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALAN MATTES DPM (PRESIDENT OWNER PRACTITONER)
(818) 789-3668
Entity
Organization
Contact information
Practice address
13351D RIVERSIDE DR # 604, SHERMAN OAKS, CA 91423-2508
(818) 789-3668
(818) 906-0777
Mailing address
13351D RIVERSIDE DR # 604, SHERMAN OAKS, CA 91423-2508
(818) 789-3668
(818) 906-0777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E3418
—
CA
Enumeration date
01/08/2007
Last updated
11/13/2020
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