# AJ MATTIS MD INC

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

## Provider details

- **NPI number:** 1952218653
- **Authorized official:** DR. AIDAS JOSEPH MATTIS MD, PHD (PRESIDENT)
- **Authorized official phone:** (800) 288-8325

## Contact information

- **Practice address:** 38600 MEDICAL CENTER DR, PALMDALE, CA 93551-4483
- **Practice address phone:** (818) 209-4430
- **Mailing address:** 1132 LAVENDER LN, LA CANADA, CA 91011-2339
- **Mailing address phone:** (818) 209-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2026
- **Last updated:** 09/29/2026