# MATIX DIABETIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730267618
- **Authorized official:** MR. CLIFFORD KOON (CEO)
- **Authorized official phone:** (562) 407-9349

## Contact information

- **Practice address:** 14111 FREEWAY DR \# 303, SANTA FE SPRINGS, CA 90670-5822
- **Practice address phone:** (562) 407-9364
- **Practice address fax:** (626) 964-2573
- **Mailing address:** 14111 FREEWAY DR \# 303, SANTA FE SPRINGS, CA 90670-5822
- **Mailing address phone:** (562) 407-9364
- **Mailing address fax:** (626) 964-2573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020