Organization
LAWRENCE H MATT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE HARRY MATT M.D. (PRESIDENT)
(310) 451-4779
Entity
Organization
Contact information
Practice address
1450 10TH ST, SUITE 202, SANTA MONICA, CA 90401-2857
(310) 451-4779
(310) 393-1665
Mailing address
1450 10TH ST, SUITE 202, SANTA MONICA, CA 90401-2857
(310) 451-4779
(310) 393-1665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A43801
CA
Other
Enumeration date
11/07/2007
Last updated
07/23/2015
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