Individual
DR. CRYSTAL WILLIAMS MATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2417 TOPANGA SKYLINE DR, TOPANGA, CA 90290-4054
(310) 455-1536
Mailing address
2417 TOPANGA SKYLINE DR, TOPANGA, CA 90290-4054
(310) 455-1536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C40029
CA
207RN0300X
Nephrology Physician
C40029
CA
Other
Enumeration date
07/14/2006
Last updated
01/07/2010
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