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Individual

CHRISTINA L. MATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
147 N BRENT ST, VENTURA, CA 93003
(805) 652-5011
Mailing address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5011

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A96301
CA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
A96301
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A963010
CA
01
10329259-1205
MEDICAL LICENSE
UT
01
A96301
MEDICAL LICENSE
CA
Enumeration date
11/03/2005
Last updated
12/08/2018
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