Individual
MATTHEW BENEDICT CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Mailing address
6925 CATABA RD, OAK HILLS, CA 92344-8661
(323) 702-9730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NDTXEW
CA
Other
Enumeration date
06/10/2025
Last updated
07/03/2025
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