Organization
JOHN D. MATRISCIANO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D MATRISCIANO M.D. (OWNER)
(805) 379-4677
Entity
Organization
Contact information
Practice address
2190 LYNN RD STE 200, THOUSAND OAKS, CA 91360-8020
(805) 379-4677
(805) 495-1829
Mailing address
2190 LYNN RD STE 200, THOUSAND OAKS, CA 91360-8020
(805) 379-4677
(805) 495-1829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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