Individual
MATTHEW GEORGE HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3067
Mailing address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3067
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
VN705373
CA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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