Individual
DR. MATTHEW HADILAKSONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1105 LAS TABLAS RD STE D, TEMPLETON, CA 93465-9731
(805) 550-6689
(833) 615-2271
Mailing address
128 LA COLIMA, PISMO BEACH, CA 93449-2841
(310) 500-7966
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A15470
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20A15470
CA
Other
Enumeration date
01/15/2015
Last updated
03/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us