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Individual

DR. HARVEY J. MATLOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 L ST, 6TH FLOOR, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C30885
CA
207RI0011X
Interventional Cardiology Physician
C30885
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C308850
CA
01
P00084697
RAILROAD MEDICARE PIN
CA
Enumeration date
08/29/2005
Last updated
07/22/2015
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