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Organization
EXPANSIVE TRANSFORMATION ASSOCIATES, INC.
Active
Organization
EXPANSIVE TRANSFORMATION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MATI MD (OWNER)
(646) 740-6426
Entity
Organization
Contact information
Practice address
1363 DONLON ST STE 17, VENTURA, CA 93003-5638
(646) 740-6426
Mailing address
1363 DONLON ST STE 17, VENTURA, CA 93003-5638
(646) 740-6426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
02/15/2023
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