# MATRIX MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1770644239
- **Authorized official:** GEORGE EDWARD JOHNSON JR. MD (OWNER)
- **Authorized official phone:** (805) 541-1060

## Contact information

- **Practice address:** 1304 ELLA ST., SUITE A, SAN LUIS OBISPO, CA 93401-4165
- **Practice address phone:** (805) 541-1060
- **Practice address fax:** (805) 541-6942
- **Mailing address:** 1304 ELLA ST., SUITE A, SAN LUIS OBISPO, CA 93401-4165
- **Mailing address phone:** (805) 541-1060
- **Mailing address fax:** (805) 541-6942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G29754 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020