Individual
DR. MATTHEW ULYSSES JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9600
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
A86129
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A86129
CA
208M00000X
Hospitalist Physician
A86129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A861290
—
CA
Enumeration date
09/03/2006
Last updated
09/17/2024
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