Organization
SUM TRAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL MATTILLO (OFFICE MANAGER)
(661) 253-2211
Entity
Organization
Contact information
Practice address
23823 VALENCIA BLVD, #220, VALENCIA, CA 91355-2103
(661) 253-2211
(661) 253-0016
Mailing address
23823 VALENCIA BLVD, #220, VALENCIA, CA 91355-2103
(661) 253-2211
(661) 253-0016
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
A32753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A307530
—
CA
Enumeration date
02/10/2011
Last updated
04/29/2015
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