Individual
HARRY BERJ MATOSSIAN
Active
Individual
HARRY BERJ MATOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G62323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G623230
—
CA
01
—
ZZZ56549Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/11/2005
Last updated
08/26/2024
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